Abstract
Resumo: Objetivo: esta revisão sistemática da literatura teve como objetivo encontrar dados que esclarecessem a controvérsia sobre associação entre língua geográfica e doenças atópicas/atopia, enfatizando a correlação entre estas condições. Material e Métodos: os dados avaliados incluíram idade, sexo, história familiar e pessoal de atopia, prevalência de língua geográfica, níveis séricos de imunoglobulina E (IgE) e testes cutâneos. Resultados: 08 artigos foram selecionados e lidos na íntrega e as informações encontradas utilizadas neste estudo. Durante a revisão, houve dificuldade na padronização dos achados devido à falta de detalhes no diagnóstico de atopia e língua geográfica; e falta de análise individualizada das condições atópicas: asma, rinite ou dermatite atópica. Limitação: baixo número de publicações sobre o tema. Conclusão: com base na literatura, um número maior de dados são necessários para confirmação da relação entre língua geográfica, doenças atópicas/atopia, além de outros estudos com tamanho amostral maior, diagnóstico detalhado de atopia/ doenças atópicas e língua geográfica e dosagem sérica IgE determinada simultaneamente ao exame bucal e testes cutâneos.
Highlights
Allergic diseases are common in the general population and are usually associated with sensitivity to environmental allergens such as foods, pollen, mites, fungus, insects, and drugs.[1]
Material and Methods The systematic literature review reported here was performed according to the following steps: 1. After a thorough review of the literature and based on the authors’ clinical experience, two guiding questions were formulated to be answered by the present study: What is the frequency of geographic tongue in patients with atopy? Did these findings were correlate with the immunoglobulin E (IgE) levels and skin tests?
It is important that Pap screening be routinely performed to detect the presence of atypical lesions because the primary differential diagnoses include candidiasis, which can be detected using cytopathology. We found it difficult to standardize the findings because of a lack of detail in the diagnoses of atopy and geographic tongue (GT); a lack of separate analyses of asthma, rhinitis, or atopic dermatitis (AD) conditions; and primarily, few publications on the subject
Summary
Allergic diseases are common in the general population and are usually associated with sensitivity to environmental allergens such as foods, pollen, mites, fungus, insects, and drugs.[1] The prevalence of these diseases has increased considerably in recent decades. Several theories have been proposed as a justification; no conclusive explanation for this phenomenon has been defined.[2] In this context, atopy, the hereditary predisposition of the immune system to immunoglobulin E (IgE)-mediated hypersensitivity reactions in response to common antigens, in intra- and extra-domiciliary environments is important.[3] In addition to interactions with the environment in genetically predisposed individuals, there are systemic variations and immunological abnormalities that make the pathogenesis of this condition quite complex.[4]. The main atopic disorders are asthma, rhinitis, and atopic dermatitis (AD). Asthma is a chronic inflammatory disease of the airways characterized by generalized but variable bronchial obstruction, partially reversible spontaneously or by pharmacological intervention. The inflammation is largely dependent on IgE sensitization.[5]
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