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학술저널
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대한피부과학회 Annals of Dermatology Annals of Dermatology 제23권 제4호
발행연도
2011.1
수록면
468 - 473 (6page)

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Background: Severe pruritus is the primary symptom in atopic dermatitis (AD). Recently, the novel cytokine IL-31has been implicated in the itching associated with AD. Objective: We performed this study to determine whether IL-31 serum levels are elevated in AD patients and to better characterize the relationship between serum IL-31 level and other established laboratory parameters. Methods: We recruited 55 AD patients, 34 with allergic type AD and 21with non-allergic type AD, and 38 healthy, non-atopic controls. We checked the laboratory values, severity score,and serum IL-31 levels in all patients and controls, and IL-31mRNA levels in lesion skin were measured in 13 subjects with AD and in four controls. Results: AD patients displayed significantly higher levels of serum IL-31 that were associated with serum IgE, disease severity, and subjective itch intensity. In AD patients, IL-31 mRNA levels from the lesional skin samples also correlated with serum IL-31 level. Conclusion: IL-31 is likely one of the many mediators inducing inflammation and pruritus in AD. Although our limited sample size prevents us from making any definitive conclusions, our data demonstrate a strong correlation between IL-31 mRNA level and serum IL-31 protein level,which has never been reported before. Moreover, we found correlations between serum IL-31 level and serum IgE,eosinophil cationic protein, disease severity, and subject itch intensity in certain degrees in AD patients. (Ann Dermatol 23(4) 468∼473, 2011)

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