Diagnostic criteria, clinical severity, IgE-RAST score and serum IgE value were statitically analysed in the 1006 patients of atopic dermatitis(AD)with typical and atypical eruptions. The results are as follows:1)Definite AD who were diagnosed by the presence of 4 items, such as itching, clinical course of more than one year, atopic history, and typical eruption, was 44.8%(451/1006)of patients examined. The other patients(552/1006;55.2%)were considered as indefinite AD. The statistical analysis indicated that especially the presence of typical eruption among the 4 items was most essential for diagnosing a patient to be AD. 2)The severity, RAST-positivity and serum IgE values of the definite AD patients were significantly higher than those of the other groups(indefinite AD patients). Among the definite AD patients, the RAST-positivity of the food antigens, such as rice, egg white, and so on, was very high in the severe patients but low in the mild patients. 3)Each RAST-posibivity of many antigens increased in correspondence with the clinical severity of AD. But the RAST-posibivity of the food antigens, especially of rice antigen increased more remarkably than that of the inhalant antigens, such as mite or house dust. 4)A statistical analysis of correlationship among the RAST scores of the several inhalant and food antigens revealed a strong correlation(r=0.9248)between DF(Dermatophagoides farinae)and HD1, and relatively strong correlations(r=0.6437 to 0.7830)between egg white and milk, between soy bean and rice, between rice and wheat, and between wheat and soy bean. An analysis of multiple correlationship between the clinical severity(from 1 to 3)and each RAST score of the DF, egg white, and rice suggested a strong contiribution of the rice to the severity. From the results above mentioned, a probable involvement of the food antigens, especially of rice antigen, in the development of severe AD was discussed in comparison with that of the inhalant antigens such as mite and house dust.
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