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Archives of Disease in Childhood 1998;79:400-404; doi:10.1136/adc.79.5.400
Copyright © 1998 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 1998;79:400-404 ( November )

Production of antibodies to staphylococcal superantigens in atopic dermatitis

D E Campbell, A S Kemp

Department of Immunology, Royal Children's Hospital, Parkville, Victoria 3052, Australia

Correspondence to: Dr Kemp. email: kempa{at}cryptic.rch.unimelb.edu.au


Accepted 12 June 1998

Staphylococcal superantigens (SAG) are implicated in the inflammation of atopic dermatitis. As SAG mediated diseases may be modified by specific antibodies, the antibody response to SAG in atopic dermatitis was investigated. Immunoglobulin (Ig) G to staphylococcal enterotoxin A (SEA), staphylococcal enterotoxin B (SEB), and toxic shock syndrome toxin 1 (TSST-1) were measured by sandwich enzyme linked immunosorbent assay (ELISA) in 74 children with atopic dermatitis and 111 controls. Controls had detectable IgG to SEA, SEB, and TSST-1, which increased with age. Atopic dermatitis subjects had an increased response to SEB at 6 months to 2 years (76% v 42%) and 2 to 7 years (79% v 57%), and equivalent responses to SEA and TSST-1, compared to controls. It is suggested that increased responses to SEB relate to increased colonisation and hence exposure to superantigen producing staphylococcus in atopic dermatitis, and that inflammation of atopic dermatitis is not caused by an inability to make antibody to SAG.

Keywords: atopic dermatitis; staphylococcus; superantigen; antibody


© 1998 by Archives of Disease in Childhood

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