predisposition toward developing certain allergic hypersensitivity reactions. Atopy may have a hereditary component, although contact with the allergen must occur before the hypersensitivity reaction can develop. Presentation • Atopy is a disease characterized by a tendency to be “hyperallergic”. A patient with atopy typically presents with one or more of the following: eczema (atopic dermatitis), allergic rhinitis (hayfever), allergic conjunctivitis, or allergic asthma. Patients with atopy also have a tendency to have food allergies. Causes • Atopic reactions are caused by localized hypersensitivity reaction to an allergen. • Atopy appears to show a strong • hereditary component. • Environmental factors are also thought to play a role in the development of atopy Signs and symptoms • Patients with atopy usually develop what is referred to as the “allergic triad” of symptoms, i.e., eczema (atopic dermatitis), hayfever (allergic rhinitis), and allergy-induced asthma (allergic asthma). They also have a tendency to have food allergies, and other symptoms characterized by their hyperallergic state. For example, eosinophilic esophagitis is found associated with atopic allergies. • Symptoms • Some symptoms, from an atopy questionnaire : • Cracks in the skin under the earlobe • Eczema • In elbow flexures and/or hollow of the knees • Nipple eczema • Neurodermatitis • Subtype Dyshidrosis • Keratosis pilaris • Perlčche • Conjunctivitis • Chronic or seasonal rhinitis Treatment • Corticosteroids • Immune modulators • Avoiding dry skin • Avoiding allergens and irritants References • http:/ / www. ncbi. nlm. nih. gov/ omim/ 147050 • http:/ / www. diseasesdatabase. com/ ddb34489. htm • http:/ / www. atsdr. cdc.gov • http:/ / web. archive. org/ web/ 20050904174102/ http:/ / www. dermis. net/ cgi-bin/ atopiefrage/ erster-e. asp)