{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T13:24:02Z","timestamp":1788614642244,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dermatitis\u00ae"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Food sensitization is frequently reported in atopic dermatitis (AD), whereas its role in chronic urticaria (CU) remains uncertain. Comparative adult data from India are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare food sensitization profiles between adults with AD and CU and assess short-term outcomes following targeted allergen avoidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 126 adults with AD (n = 24) or CU (n = 102) underwent skin prick testing using a standardized 56-allergen panel. All received structured allergen avoidance counselling with fortnightly reassessment over 6 weeks. Severity was assessed using SCORing Atopic Dermatitis (SCORAD) for AD and the urticaria activity score over 7 days (UAS7) for CU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Sensitization burden was significantly greater in AD than in CU. The median food sensitivity score was 44.5 versus 17.0, and the median number of positive allergens was 27.0 versus 12.5 (both\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), with higher sensitization across all allergen categories. The mean SCORAD decreased from 48.5 \u00b1 9.5 to 25.2 \u00b1 5.1, and mean UAS7 from 24.4 \u00b1 7.6 to 11.5 \u00b1 6.5 at 6 weeks (both\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Adults with AD demonstrated substantially greater food sensitization burden than those with CU, with clinically meaningful reductions in disease severity scores observed following targeted allergen avoidance in both conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17103568261465755","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T06:48:28Z","timestamp":1783752508000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Food Sensitization Burden and Disease Severity in Atopic Dermatitis and Chronic Urticaria: A Prospective Study From Coastal South India"],"prefix":"10.1177","author":[{"given":"Madhav","family":"Agrawal","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gatha M.","family":"Upadya","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ced\/llaf233"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.14037"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000003139"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.18919"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11144232"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2019.40.4202"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403-024-03613-w"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-3015"},{"issue":"1","key":"e_1_3_1_10_1","first-page":"e2020004","article-title":"Diet and chronic urticaria: Dietary modification as a treatment strategy","volume":"10","author":"Jaros J","year":"2020","unstructured":"9.Jaros J, , Shi VY, , Katta R. Diet and chronic urticaria: Dietary modification as a treatment strategy. Dermatol Pract Concept. 2020;10(1):e2020004.","journal-title":"Dermatol Pract Concept"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijd.ijd_181_23"},{"key":"e_1_3_1_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijd.ijd_307_22"},{"key":"e_1_3_1_13_1","first-page":"23","volume-title":"Atopic Dermatitis","author":"Hanifin JM","year":"1980","unstructured":"12.Hanifin JM, , Rajka G. Diagnostic features of atopic dermatitis. In: Atopic Dermatitis. (Hanifin JM, , Rajka G., eds.) WB Saunders: Philadelphia, PA; 1980; pp. 23\u201330."},{"key":"e_1_3_1_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.15090"},{"issue":"1","key":"e_1_3_1_15_1","first-page":"23","article-title":"Severity scoring of atopic dermatitis: The SCORAD index. Consensus report of the European Task Force on Atopic Dermatitis","volume":"186","author":"European Task Force on Atopic Dermatitis","year":"1993","unstructured":"14.European Task Force on Atopic Dermatitis. Severity scoring of atopic dermatitis: The SCORAD index. Consensus report of the European Task Force on Atopic Dermatitis. Dermatology. 1993;186(1):23\u201331.","journal-title":"Dermatology"},{"key":"e_1_3_1_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2017.10.001"},{"key":"e_1_3_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00149-X"},{"key":"e_1_3_1_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1011040"},{"key":"e_1_3_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.11.020"},{"key":"e_1_3_1_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-020-0898-7"},{"key":"e_1_3_1_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.16345"},{"issue":"4","key":"e_1_3_1_22_1","first-page":"297","article-title":"Analysis of food reactions in atopic dermatitis patients\u2014The evaluation of elimination diet effect on the atopic dermatitis course with the use of the SCORAD index","volume":"57","author":"Celakovsk\u00e1 J","year":"2012","unstructured":"21.Celakovsk\u00e1 J, , Buka\u010d J. Analysis of food reactions in atopic dermatitis patients\u2014The evaluation of elimination diet effect on the atopic dermatitis course with the use of the SCORAD index. Indian J Dermatol. 2012;57(4):297\u2013301.","journal-title":"Indian J Dermatol"},{"issue":"1","key":"e_1_3_1_23_1","first-page":"CD005203","article-title":"Dietary exclusions for established atopic eczema","volume":"2008","author":"Bath-Hextall FJ","year":"2008","unstructured":"22.Bath-Hextall FJ, , Delamere FM, , Williams HC. Dietary exclusions for established atopic eczema. Cochrane Database Syst Rev. 2008;2008(1):CD005203.","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Dermatitis\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17103568261465755","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17103568261465755","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17103568261465755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T07:17:19Z","timestamp":1783927039000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17103568261465755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,10]]},"references-count":22,"alternative-id":["10.1177\/17103568261465755"],"URL":"https:\/\/doi.org\/10.1177\/17103568261465755","relation":{},"ISSN":["1710-3568","2162-5220"],"issn-type":[{"value":"1710-3568","type":"print"},{"value":"2162-5220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,10]]},"article-number":"17103568261465755"}}