Clinical improvement after unusual avoidance measures in the home of an atopic dermatitis patient.

Kort, H S; Koers, W J; van Nes, A M; Young, E; Vorenkamp, J; Wolfs, B G; van Bronswijk, J E · Allergy · 1993

case_report · Level V

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Abstract

A 27-year-old female office clerk with widespread atopic dermatitis (AD) since infancy appeared to be highly sensitized and exposed to molds, storage mites, and chicken feathers and moderately sensitized to house-dust mites and grass and birch pollens. Hardly any textiles were present in her home; that is, only 28 m2, which is less than 25% of the Dutch national average. The causal relationship between eczema and molds plus storage mites in this case of AD was strengthened by the positive effect of an unusual, multidisciplinary home-sanitation program involving cleaning of mineral surfaces and ventilation improvement. This home-sanitation program led to a gradual drop of total IgE and clinical symptom scores to 21% and 13%, respectively, of the original values.

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