Acupuntura en dermatitis atópica y mecanismos neuroinmumonológicos. Actualización

  • Martha P. Robayo M. Hospital Militar Central
  • Mauricio Ángel M Universidad Nacional de Colombia
  • Claudia L. Robayo M. Universidad Nacional de Colombia
Palabras clave: acupuntura, dermatitis atópica, fisiopatología, inmunomodulación

Resumen

La dermatitis atópica es una patología de alta prevalencia tanto en nuestro medio como en el resto del mundo. Su etiopatogenia es compleja y multifactorial e involucra factores genéticos, ambientales e inmunológicos. Se han planteado múltiples opciones terapéuticas para su manejo y en años recientes se ha observado un incremento en el uso de la acupuntura como una opción que buscan los pacientes con patologías dermatológicas, en particular la dermatitis atópica. Estudios a nivel neuroinmunológico se han llevado a cabo para explicar los posibles mecanismos subyacentes involucrados en el efecto de este tratamiento. En este artículo se presenta una revisión sobre los aspectos más relevantes de esta entidad.

Biografía del autor/a

Martha P. Robayo M., Hospital Militar Central
Dermatóloga Coordinadora Servicio de Dermatología. Hospital Militar Central. Bogotá, Colombia
Mauricio Ángel M, Universidad Nacional de Colombia
Magíster en Medicina Alternativa – Medicina Tradicional China (MTCh) y Acupuntura Universidad Nacional de Colombia. Asesor y conferencista invitado del área de MTCh y Acupuntura Universidad Nacional de Colombia. Bogotá, Colombia
Claudia L. Robayo M., Universidad Nacional de Colombia
Estudiante Cohorte III Maestría en Medicina Alternativa línea de profundización Medicina Tradicional China y Acupuntura. Universidad Nacional de Colombia, Bogotá, Colombia

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Biografía del autor/a

Martha P. Robayo M., Hospital Militar Central
Dermatóloga Coordinadora Servicio de Dermatología. Hospital Militar Central. Bogotá, Colombia
Mauricio Ángel M, Universidad Nacional de Colombia
Magíster en Medicina Alternativa – Medicina Tradicional China (MTCh) y Acupuntura Universidad Nacional de Colombia. Asesor y conferencista invitado del área de MTCh y Acupuntura Universidad Nacional de Colombia. Bogotá, Colombia
Claudia L. Robayo M., Universidad Nacional de Colombia
Estudiante Cohorte III Maestría en Medicina Alternativa línea de profundización Medicina Tradicional China y Acupuntura. Universidad Nacional de Colombia, Bogotá, Colombia

Referencias Bibliográficas

Burns T, Breathnach S, Cox N, Griffiths C, eds. Rooks Textbook of Dermatology, Vol. 1. Eighth Edition. Singapore: Wiley-Blackwell, 2010:24.1-24.31

Busi FM. Barrera epidérmica en dermatitis atópica. Rev Asoc Col Dermatol 2008; 16 (4): 293-301.

Williams HC. Atopic Dermatitis. N Engl J MED 2005; 352: 2314-2324.

Ballona R, Ballona C. Dermatitis Atópica: Revisión de tema. Folio Dermatol. 2004;15 (1):40-48

Dennis R, Caraballo L, García E et al. Asthma and other allergic conditions in Colombia: a study in 6 cities. Ann Allergy Asthma Immunol. 2004; 93:568-574.

Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet 1998; 351:1225-1232.

Lin YT, Wang CT, Chiang BL. Role of bacterial pathogens in atopic dermatitis. Clinic Rev Allerg Immunol 2007; 33: 167-177.

Bieber T. Atopic dermatitis. Ann Dermatol 2010; 22 (2): 125-137

Terui T. Analysis of the mechanism for the development of allergic skin inflammation and the application for its treatment: overview of the pathophysiology of atopic dermatitis. J Pharmacol Sci 2009; 110 (3): 232-236.

Elias PM, Steinhoff M. “Outside-to-inside” (and now back to “outside”) pathogenic mechanisms in atopic dermatitis. J Invest Dermatol 2008; 128 (5): 1067-1070.

Gomes PL, Malavige GN, Fernando N, Mahendra MH, Kamaladasa SD, Seneviratne JK, et al. Characteristics of Staphylococcus aureus colonization in patients with atopic dermatitis in Sri Lanka. Clin Exp Dermatol 2011; 36 (2): 195-200.

aitanis G, Menounos P, Katsambas A, Velegraki A. Detection and mutation screening of Malassezia sympodialis sequences coding for the Mal s 1 allergen implicated in atopic dermatitis. J Invest Dermatol 2003; 121 (6): 1559-1560.

Friedman BC, Goldman RD. Anti-staphylococcal treatment in dermatitis. Can Fam Physician 2011; 57 (6): 669-671

Solanki LS, Srivastava N, Singh S. Superantigens: a brief review with special emphasis on dermatologic diseases. Dermatol Online J 2008; 14 (2): 3.

Ong PY, Leung DYM. The infectious aspects of atopic dermatitis. Immunol Allergy Clin North Am 2010; 30 (3): 309-321.

Kam L, Ben Chung L, Ping Chung L. Chinese herbal medicine research in eczema treatment. Hon et al. Chinese Medicine 2011, 6:17

Wollenberg A, Klein E. Current aspects of innata and adaptive immunity in atopic dermatitis. Clinic Rev Allerg Immunol 2007; 33: 35-44.

Novak N, Koch S, Allam JP, Bieber T. Dendritic cells: bridging innate and adpative immunity in atopic dermatitis. J Allergy Clin Immunol 2010; 125: 50-59.

Seneviratne SL, Black AP, Jones L, Bailey AS, Ogg GS. The role of skin-homing T cells in extrinsic atopic dermatitis. QJM 2007; 100 (1): 19-27

Gyimesi E, Nagy G, Remenyik E, Sipka S, Zeher M, Biro T, et al. Altered peripheral invariant natural killer T cells in atopic dermatitis. J Clin Immunol 2011. En prensa.

De Benedetto A, Agnihothri R, McGirt LY, Bankova LG, Beck LA. Atopic dermatitis: a disease caused by innate immune defects? J Invest Dermatol 2009; 129 (1): 14-30.

Bieber T, Novak Mecanismo Fisiopatologico de la dermatitis atopica. Allergy & Clinical Immunol Inter 2005;17(1):26-29

Sio S, Puthia MK, Moochhala S, Bhatia M. The neuropeptide substance P is a critical mediator of burn-induced acute lung injury. J Immunol 2008; 180: 8333-8341.

Ohmura T, Tsunenari I, Hayashi T, Satoh Y, Konomi A, Nanri H, et al. Role of substance P in an NC/Nga mouse model of atopic dermatitis-like disease. Int Arch Allergy Immunol 2004; 133: 389-397.

ddor FA, Aoki V. Skin barrier in atopic dermatitis. An Bras Dermatol 2010; 85 (2): 184-194

Miller LS, Sørensen OE, Liu PT, Jalian HR, Eshtiaghpour D, Behmanesh BE, et al. TGF-alpha regulates TLR expression and function on epidermal keratinocytes. J Immunol 2005; 174 (10): 6137-6143.

Elias PM, Schmuth M. Abnormal skin barrier in the etiopathogenesis of atopic dermatitis. Curr Opin Allergy Clín Immunol 2009; 9 (5): 437-446. Hata TR, Gallo RL. Antimicrobial peptides, skin infections, and atopic dermatitis. Semin Cutan Med Surg 2008; 27 (2): 144-150.

Slattery MJ, Essex MJ, Paletz EM, Vanness ER, Infante M, Rogers GM, et al. Depression, anxiety, and dermatologic quality of life in adolescents with atopic dermatitis. J Allergy Clin Immunol 2011. En prensa.

Fernandez JM, Armario JC. Nuevas perspectivas terapéuticas en dermatitis atópica. Med Cutan Ibe Lat Am 2011; 39( 1) : 30-36)

Anstey A. Management of atopic dermatitis: nonadherence to topical therapies in treatment of skin disease and the use of calcineurin inhibitors in difficult eczema. Br J Dermatol 2009; 161 (2): 219-220.

Aubert-Wastiaux H, Moret L, Le Rhun A, Fontenoy AM, Nguyen JM, Leux C, et al. Topical corticosteroid phobia in atopic dermatitis: a study of its nature, origins and frequency. Br J Dermatol 2011. En prensa.

McKenna SP, Doward LC. Quality of life of children with atopic dermatitis and their families. Curr Opin Allergy Clin Immunol 2008; 8 (3): 228-231

WHO International standard terminologies on tradicional medicine in the western pacific region who library cataloguing in publication data World Elath organization 2007

WHO Standart acupuncture point locations in the western pacific region who library cataloguing in publication data workd Elath organización 2008

Barrie C, Yyothirmai G. International Assocciacion for the study of pain Guia to pain Management in low resorce setting Chapter 9 Complementary therapies for pain Management .

Manni L, Albanesi M, Guaragna M, Barbaro S, Aloe L. Neurotrophins and acupuncture. Autonomic Neurosci 2010; 157: 9-17

Kim SK, Bae H. Acupuncture and immune modulation. Auton Neurosci 2010; 157: 38-41.

Dhond RP, Yeh C, Park K, Kettner N, Napadow V. Acupuncture modulates resting state connectivity in default and sensorimotor brain networks. Pain 2008; 136 (3): 407-418

Cabioglu MT, Cetin BE. Acupuncture and immunomodulation. Am J Chin Med 2008; 36 (1): 25-36.

Shiue S, Lee Y, Tsai C, Hsueh Y, Sheu J, Chang H.DNA microarray analysis of the effect on inflammation in patients treated with acupuncture for allergic rhinitis. J.Altern Complement Med 2008;14:689-698

Park MB, Ko E, Ahn C, Choi H, Rho S, Shin MK, et al. Suppression of IgE production and modulation of Th1/Th2 cell response by electroacupuncture in DNP-KLH immunized mice. J Neuroimmunol 2004; 151: 40-44.

Jianli C. The effect of acupuncture on serum IgE level in patients with chronic urticaria. J Tradit Chin Med 2006; 26 (3): 189-190.

Magnusson AL, Svensson REB, Leirvik C. The effect of acupuncture on allergic rhinitis: a randomized controlled clinical trial. Am J Chin Med 2004; 32 (1): 105-115.

Yamaguchi N, Takahashi T, Sakuma M, Sugita T, Uchikawa K, Sakaihara S, et al. Acupuncture regulates leukocyte subpopulations in human peripheral blood. eCAM 2007; 4 (4): 447-453.

Salameh F, Perla D, Solomon M, Gamus D, Barzilai A, Greenberger S, et al. The effectiveness of combined Chinese herbal medicine and acupuncture in the treatment of atopic dermatitis. J Altern Complement Med 2008; 14 (8): 1043-1048.

Takayama Y, Itoi M, Hamahashi T, Tsukamoto N, Mori K, Morishita D, et al. Moxibustion activates host defense against herpes simplex virus type I through augmentation of cytokine production. Microbiol Immunol 2010; 54: 551-557.

Chung J, Hsin S. Acupuncture, electrostimulation and reflex therapy in dermatology. Dermatol Therapy 2003;16:87-92

Boneberger S, Rupec RA, Ruzicka T. Complementary therapy for atopic dermatitis and other allergic skin diseases: facts and controversies. Clin Dermatol 2010; 28: 57-61.

Zijlstra FJ, van den Berg-de Lange I, Huygen FJPM, Klein J. Antiinflammatory actions of acupuncture. Mediators of Inflammation 2003; 12 (2): 59-69.

Lee HJ, Lee JH, Lee EO, Lee HJK, Lee LS, Lee CH, et al. Substance P and beta endorphin mediate electroacupuncture induced analgesic activity in mouse cancer pain model. Acupunct Electro Ther Res 2009; 34: 27-40.

Cómo citar
Robayo M., M. P., Ángel M, M., & Robayo M., C. L. (2011). Acupuntura en dermatitis atópica y mecanismos neuroinmumonológicos. Actualización. Revista Med, 19(1), 66-73. https://doi.org/10.18359/rmed.1210
Publicado
2011-06-30
Sección
Artículos