Dr Casale discusses the role of barrier disruption in AD, and the theory behind its association with environmental and food allergen sensitization.
The video explains, barrier disruption is a critical component of AD, whether due to genetic mutations like filaggrin gene mutation or overactivation of type 2 inflammatory cytokines IL-4 and IL-13. These cytokines directly damage the barrier, and scratching exacerbates this damage. Barrier disruption in AD may lead to sensitization to environmental allergens.