Abstract
Sarcoidosis is a chronic multisystem disease of unknown origin, which is characterized by T-helper-1 (Th1)-mediated immune responses. On the other hand, atopic dermatitis (AD) is characterized by Th2-mediated immune responses. We recently experienced an interesting case of AD in which the patient experienced a significant resolution of AD after the onset of sarcoidosis. We herein describe the details of his clinical course and discuss the impact of negative cross-regulation between Th1 and Th2 immune responses.
Similar content being viewed by others
References
James DG. Granuloma formation signifies a Th1 cell profile. Sarcoidosis. 1995;12:95–7.
Fernandez-Botran R, Sanders VM, Mosmann TR, Vitetta ES. Lymphokine-mediated regulation of the proliferative response of clones of T helper 1 and T helper 2 cells. J Exp Med. 1988;168:543–58.
Maggi E, Parronchi P, Manetti R, Simonelli C, Piccinni MP, Rugiu FS, et al. Reciprocal regulatory effects of IFN-gamma and IL-4 on the in vitro development of human Th1 and Th2 clones. J Immunol. 1992;148:2142–7.
Hattori T, Konno S, Takahashi A, Isada A, Shigemura M, Matsuno K, et al. The role of atopy in the clinical course of pulmonary sarcoidosis in the Japanese population. Allergy Asthma Proc. 2010;31:238–43.
Souwer Y, Szegedi K, Kapsenberg ML, de Jong EC. IL-17 and IL-22 in atopic allergic disease. Curr Opin Immunol. 2010;22:821–6.
Kokturk N, Han ER, Turktas H. Atopic status in patients with sarcoidosis. Allergy Asthma Proc. 2005;26:121–4.
Hartung AD, Bohnert A, Hackstein H, Ohly A, Schmidt KL, Bein G. Th2-mediated atopic disease protection in Th1-mediated rheumatoid arthritis. Clin Exp Rheumatol. 2003;21:481–4.
Kira J, Kawano Y, Yamasaki K. Multiple sclerosis with mite antigen-specific IgE. J Neurol Sci. 1998;157:138–42.
Shirakawa T, Enomoto T, Shimazu S, Hopkin JM. The inverse association between tuberculin responses and atopic disorder. Science. 1997;275:77–9.
Grutters JC, Drent M, van Velzen-Blad H, van den Bosch JM. Inverse association between sarcoidosis and atopic asthma. Sarcoidosis Vasc Diffuse Lung Dis. 1998;15:193–4.
Hamid Q, Boguniewicz M, Leung DY. Differential in situ cytokine gene expression in acute versus chronic atopic dermatitis. J Clin Invest. 1994;94:870–6.
Gottlieb JE, Israel HL, Steiner RM, Triolo J, Patrick H. Outcome in sarcoidosis. The relationship of relapse to corticosteroid therapy. Chest. 1997;111:623–31.
Johns CJ, Michele TM. The clinical management of sarcoidosis. A 50-year experience at the Johns Hopkins Hospital. Medicine (Baltimore). 1999;78:65–111.
Paramothayan S, Jones PW. Corticosteroid therapy in pulmonary sarcoidosis: a systematic review. JAMA. 2002;287:1301–7.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Miyagaki, T., Asano, Y., Shibata, S. et al. The development of Th1-mediated sarcoidosis improves the clinical course of Th2-mediated atopic dermatitis. Mod Rheumatol 21, 406–409 (2011). https://doi.org/10.1007/s10165-010-0404-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10165-010-0404-5