چکیده زمینه و هدف: درماتیت آتوپیک یا اگزمای سرشتی، شایعترین بیماری التهابی مزمن و عودکننده دوران نوزادی و کودکی است که بهندرت تا بزرگسالی ادامه پیدا میکند. و بهطور شایع، سابقهای از آتوپی (بهصورت آسم، رینیت آلرژیک یا حساسیت غذایی) همراه بیماری دیده میشود. این مطالعه به بررسی تطبیقی درماتیت آتوپیک با بیماریهای التهابی- بثوری در طب سنتی ایران میپردازد. تطبیق این بیماری با بیماریهای توصیف شده در طب سنتی ایران بهعنوان یک طب کلنگر، میتواند گشایش افقهای دیگری از شناخت و درمان را در پی داشته باشد. یافتهها: هر چند حضور فاکتورهای التهابی در ایجاد درماتیت آتوپیک اثبات شده است، اما پاتوژنز بیماری هنوز بهطور دقیق شناخته شده نیست. ازآنجاییکه اطلاعات دقیقی از محل ضایعات، مزمن و عودکننده بودن و سابقه شخصی یا خانوادگی در حساسیت به آلرژنها در کتابهای طب سنتی ایران موجود نبوده است، بررسی بیماری به تظاهرات بالینی ذکر شده در منابع طب سنتی ایران محدود شده و این مطالعه بر پایه علائم اصلی بیماری (بثورات التهابی، خارش و خشکی) صورت پذیرفته است. در این پژوهش بیماریهای التهابی- بثوری استخراج شده از منابع طب سنتی ایران از نظر علائم و اسباب ایجاد کننده آن با آنچه در طب نوین بهعنوان تظاهرات بالینی و پاتوژنز درماتیت آتوپیک نام برده شده، مقایسه گردید. نتیجهگیری: در فاز نهایی این پژوهش، از میان این طیف گسترده از بیماریهای التهابی- بثوری با توجه به دو عامل اسباب ایجاد کننده و علائم بیماری، بیشترین شباهت درماتیت آتوپیک با نمله و جاورسیه دیده شد. واژههای کلیدی: درماتیت آتوپیک خارش؛ التهاب؛ طب سنتی References - Agili M (2005) [Kholasat al hekmat]. edition. Qom, Esmaeilian Publication. (Persian) - Agrawal D, Lavanya M, Sathyanarayana B, Swaroop M and Manas J (2015) Evaluation of clinical diagnostic criteria of atopic dermatitis and serum ige levels in patients with chronic eczema. International Journal of Health Sciences and Research. 6 (1) 84-9. - Antaki D (2000) [Tazkere olol al bab]. edition. Beirut, Alaalami Publication. (Arabic) - Arellano F, Wentworth C, Arana A, Fernandez C and Paul C (2007) Risk of lymphoma following exposure to calcineurin inhibitors and topical steroids in patients with atopic dermatitis. Journal Of Investigative Dermatology. 127 (4) 808–16. - Arzani M (2006) [Tebbe akbari]. edition. Qom, Jalaleddin Publications. (Persian) - Avicenna H (2004) [The Cannon Of Medicine]. edition. Beirut, Alaalami Publication (Arabic) - Azamkhan M (2007) [Exir-e azam]. edition. Tehran, Almaei Publication. (Persian) - Bahaodolle B (2001) [Kholase al tajarob]. edition. Tehran, Iran University of Medicine Publication (Persian) - Beltrani V (1999) The clinical spectrum of atopic dermatitis. Journal of Allergy and Clinical Immunology. 104 (3) 87-98. - Bolognia J, Jorizzo J and Schaffer J (2012) Bolognia textbook of dermatology. edition. London, Mosby Elsevier. - Bos J, Leent E and Smitt J (1998) The millennium criteria for the diagnosis of atopic dermatitis. Experimental Dermatology. 7 (4) 132-8. - Chaghmini M (2010) [Mofarrah al gholob]. edition. Lahor, Motabaat al Eslamiyat Publication (Persian) - Fisher D (1995) Adverse effects of topical corticosteroid use. Western Journal Of Medicine. 162 (2) 123. - n application of the United Kingdom Working Party diagnostic criteria for atopic dermatitis in Scottish infants. Journal Of Investigative Dermatology. 117 (6) 1526-30. - Galenus A (1982) [Galenus book ela galvagan fi ai taty le shafa al amraz]. edition. Cairo, international Egyptian Book Organization (Arabic) - Ghorghani S (2011) [Zakhireh KHarazm SHahi]. edition. Qom, Ehya Teb Tabiyi (Persian) - Hanifin J (2009) Evolving concepts of pathogenesis in atopic dermatitis and other eczem. Journal Of Investigative Dermatology. 129 (2) 320-2. - Hathaway M and Warner J (1983) Compliance problems in the dietary management of eczema. Archives Of Disease In Childhood. 58 (6) 463-4. - Horii K, Simon S, Liu D and Sharma V (2007) Atopic dermatitis in children in the United States, 1997-2004: visit trends, patient and provider characteristics, and prescribing patterns. Pediatrics. 120 (3) 527-34. - Illi S, von Mutius E, Lau S, Nickel R, Gruber C, Niggemann B and Wahn U (2004) The natural course of atopic dermatitis from birth to age 7 years and the association with asthm. Journal of Allergy and Clinical Immunology. 113 (5) 925-31. - - Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M and Hidano A (1991) Decreased level of ceramides in stratum corneum of atopic dermatitis: An etiologic factor in atopic dry skin? Journal Of Investigative Dermatology. 96 (4) 523-6. - Jordaan H and Visser W (2011) The diagnosis and management of atopic dermatitis. Professional Nursing Today. 15 (6) 16-23. - Kamer B, Pasowska R, Dolka E, Blomberg A and Rotsztejn H (2013) Prevalence of atopic aermatitis in infants during the first ssix months of life: Authors' observations. Postep Derm Alergol. 30 (5) 277-81. - Kelleher M, Dunn-Galvin A, Hourihane J, Murray D, Campbell L, McLean W and Irvine A (2015) Skin barrier dysfunction measured by transepidermal water loss at 2 days and 2 months predates and predicts atopic dermatitis at 1 year. Journal of Allergy and Clinical Immunology. 135 (4) 930-5. - Kermani N (2008) [Sharh al-asbab va al-alamat]. edition. Qom, Jalaleddin Publications (Arabic) - Kezic S, Kemperman P M, Koster E S, de Jongh C M, Thio H B, Campbell L E, Irvine A D, McLean W H, Puppels G J and Caspers P J (2008) Loss-of-function mutations in the filaggrin gene lead to reduced level of natural moisturizing factor in the stratum corneum. Journal Of Investigative Dermatology. 128 (8) 2117-9. - Kim K (2013) Overview of atopic dermatitis. Asia Pacific Allergy. 3 (2) 79. - Kliegman B, Stanton J, Geme N and Schor R (2015) Nelson textbook of pediatrics. edition. Newyork, Elsevier Health Sciences. - Krakowski A, Eichenfield L and Dohil M (2008) Management of atopic dermatitis in the pediatric population. Pediatrics. 122 (4) 812-24. - Leung D (2013) New insights into atopic dermatitis: Role of skin barrier and immune dysregulation. Allergology Internationa. 62 (2) 151-61. - Leung D, Boguniewicz M, Howell M, Nomura L and Hamid Q (2004) New insights into atopic dermatitis. The Journal of Clinical Investigation. 113 (5) 651-7. - - Majosi A (2007) [Kamel al sanaat al tebbiyat]. edition. Qom, Jalaleddin Publication. (Arabic) - Patrizi A, Pileri A, Bellini F, Raone B, Neri I and Ricci G (2011) Atopic dermatitis and the atopic march: What is new? Journal Of Allergy. 2011 1-5. - Pugliarello S, Cozzi A, Gisondi P and Girolomoni G (2011) Phenotypes of atopic dermatitis. Journal der Deutschen Dermatologischen Gesellschaft. 9 (1) 12-20. - Razi M (1997) [Man la yahzoro al tabib]. edition. Ciro, Dar rekabi Publication (Arabic) - Thomsen.S (2014) Atopic dermatitis: Natural history, diagnosis, and treatmen. ISRN Allergy. 2014 1-7. - Van Bever H, Samuel S and Lee B (2008) Halting the allergic march. The World Allergy Organization journal. 1 (4) 57. - Walker M (2014) Atopy and the Gastrointestinal Tract A Review Of A Common Association In Unexplained Gastrointestinal Disease. Expert Review of Gastroenterology & Hepatology. 8 (3) 289-99. - Williams H (2005) Atopic dermatitis. The New England Journal of Medicine. 352 (22) 2314-24. - Yadav A and Naidu R (2015) Clinical manifestation and sensitization of allergic children from malaysia. Asia Pacific Allergy. 5 (2) 78-83. Comparative investigation of atopic dermatitis with inflammatory skin rashes in traditional Iranian medicine references Shirin Abbasi 1 , SeyedMohammad Shams 2 , Mohammad Kamalinejad 3* 1. PhD Student, Faculty of Traditional Medicine, Mashhad University of Medical Science, Mashhad, Iran 2. PhD in Biomedical Engineering, Biomedical Engineering Department, Faculty of Engineering, Islamic Azad University, South Tehran Branch, Tehran, Iran 3.*MSc, Lecturer, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran Abstract: Background and Aim: Atopic Dermatitis (AD) or innate eczema is the most common chronic relapsing inflammatory skin diseases in infantile and childhood, which is rarely continued into adulthood. Family or personal history of atopy (e.g. asthma, allergic rhinitis or food sensitivity) is very common in children suffered from AD. Materials and Methods: Although the role of inflammatory processes in AD is well recognized, the exact pathogenesis of it is not fully understood. Therefore, comparison between AD and diseases described in traditional Iranian medicine (TIM) as a holistic medicine may open new horizons to the deeper comprehension and therapeutic approaches. In this study, we try to draw an analogy between AD and inflammatory skin rashes described in traditional Iranian medicine references. The lack of information of lesion's location, being chronic or recurrent and family or personal history of allergy in traditional Iranian medicine references led us to solely use the clinical manifestation. Hence, according to the major symptoms of AD, inflammatory rashes, pruritus, and xerosis are defined as the clinical manifestation of AD in this study. At the first step, we compare the symptoms and causes of inflammation skin rashes in traditional medicine and clinical manifestation with pathogenesis of AD in modern medicine. In the second step, we extract the similarities and differences between AD and inflammatory skin rashes described in TIM. Conclusion: The results reveal that, Namleh and Javarsiyeh have the most common symptoms to AD, among all diseases described in traditional Iranian medicine. Key words: Dermatitis, Atopic; Inflammation; Medicine, Traditional