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IgE responsiveness, atopic(IGEL; IGER)

MedGen UID:
327063
Concept ID:
C1840253
Disease or Syndrome
Synonym: IMMUNOGLOBULIN E, BASIC LEVEL OF, IN SERUM
 
Monarch Initiative: MONDO:0007817
OMIM®: 147050

Definition

Atopy is an allergic disorder characterized by immunoglobulin E (IgE) responses to environmental proteins that are otherwise innocuous and predominantly found in plant pollen and house dust. It is the major cause of asthma (see 600807), rhinitis (see 607154), and eczema (see 603165) in children and young adults (summary by Young et al., 1992). [from OMIM]

Clinical features

From HPO
Asthma
MedGen UID:
2109
Concept ID:
C0004096
Disease or Syndrome
Asthma is characterized by increased responsiveness of the tracheobronchial tree to multiple stimuli, leading to narrowing of the air passages with resultant dyspnea, cough, and wheezing.
Eczematoid dermatitis
MedGen UID:
3968
Concept ID:
C0013595
Disease or Syndrome
Eczema is a form of dermatitis that is characterized by scaly, pruritic, erythematous lesions located on flexural surfaces.
Increased circulating IgE concentration
MedGen UID:
116018
Concept ID:
C0236175
Finding
An abnormally increased overall level of immunoglobulin E in blood.
Allergic rhinitis
MedGen UID:
382012
Concept ID:
C2607914
Disease or Syndrome
It is characterized by one or more symptoms including sneezing, itching, nasal congestion, and rhinorrhea.

Professional guidelines

PubMed

Busse WW, Kraft M, Rabe KF, Deniz Y, Rowe PJ, Ruddy M, Castro M
Eur Respir J 2021 Aug;58(2) Epub 2021 Aug 5 doi: 10.1183/13993003.03393-2020. PMID: 33542055Free PMC Article
Matricardi PM, Kleine-Tebbe J, Hoffmann HJ, Valenta R, Hilger C, Hofmaier S, Aalberse RC, Agache I, Asero R, Ballmer-Weber B, Barber D, Beyer K, Biedermann T, Bilò MB, Blank S, Bohle B, Bosshard PP, Breiteneder H, Brough HA, Caraballo L, Caubet JC, Crameri R, Davies JM, Douladiris N, Ebisawa M, EIgenmann PA, Fernandez-Rivas M, Ferreira F, Gadermaier G, Glatz M, Hamilton RG, Hawranek T, Hellings P, Hoffmann-Sommergruber K, Jakob T, Jappe U, Jutel M, Kamath SD, Knol EF, Korosec P, Kuehn A, Lack G, Lopata AL, Mäkelä M, Morisset M, Niederberger V, Nowak-Węgrzyn AH, Papadopoulos NG, Pastorello EA, Pauli G, Platts-Mills T, Posa D, Poulsen LK, Raulf M, Sastre J, Scala E, Schmid JM, Schmid-Grendelmeier P, van Hage M, van Ree R, Vieths S, Weber R, Wickman M, Muraro A, Ollert M
Pediatr Allergy Immunol 2016 May;27 Suppl 23:1-250. doi: 10.1111/pai.12563. PMID: 27288833
Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, Dawson DE, Dykewicz MS, Hackell JM, Han JK, Ishman SL, Krouse HJ, Malekzadeh S, Mims JW, Omole FS, Reddy WD, Wallace DV, Walsh SA, Warren BE, Wilson MN, Nnacheta LC; Guideline Otolaryngology Development Group. AAO-HNSF
Otolaryngol Head Neck Surg 2015 Feb;152(1 Suppl):S1-43. doi: 10.1177/0194599814561600. PMID: 25644617

Recent clinical studies

Etiology

Geba GP, Li D, Xu M, Mohammadi K, Attre R, Ardeleanu M, Musser B
J Allergy Clin Immunol 2023 Mar;151(3):756-766. Epub 2022 Sep 7 doi: 10.1016/j.jaci.2022.08.026. PMID: 36084766

Therapy

Geba GP, Li D, Xu M, Mohammadi K, Attre R, Ardeleanu M, Musser B
J Allergy Clin Immunol 2023 Mar;151(3):756-766. Epub 2022 Sep 7 doi: 10.1016/j.jaci.2022.08.026. PMID: 36084766
Bice JB, Leechawengwongs E, Montanaro A
Ann Allergy Asthma Immunol 2014 Feb;112(2):108-15. doi: 10.1016/j.anai.2013.12.013. PMID: 24468249

Prognosis

Geba GP, Li D, Xu M, Mohammadi K, Attre R, Ardeleanu M, Musser B
J Allergy Clin Immunol 2023 Mar;151(3):756-766. Epub 2022 Sep 7 doi: 10.1016/j.jaci.2022.08.026. PMID: 36084766

Clinical prediction guides

Geba GP, Li D, Xu M, Mohammadi K, Attre R, Ardeleanu M, Musser B
J Allergy Clin Immunol 2023 Mar;151(3):756-766. Epub 2022 Sep 7 doi: 10.1016/j.jaci.2022.08.026. PMID: 36084766

Supplemental Content

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