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Letter to the Editor| Volume 103, ISSUE 2, P120-123, August 2021

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Correlation between histidine decarboxylase expression of keratinocytes and visual analogue scale in patients with atopic dermatitis

      Chronic itch is the dominating symptom of atopic dermatitis (AD). Antihistamines have been used to reduce the intensity of itch caused by AD, but these agents are effective only in some patients [
      • Murota H.
      • Katayama I.
      Assessment of antihistamines in the treatment of skin allergies.
      ]. Histidine decarboxylase (HDC) is the enzyme that catalyzes the synthesis of histamine. Previous studies on mice treated with topical surfactants show that an increase in epidermal HDC is associated with itch-related behavior [
      • Inami Y.
      • Sasaki A.
      • Andoh T.
      • Kuraishi Y.
      Surfactant-induced chronic pruritus: role of L-histidine decarboxylase expression and histamine production in epidermis.
      ] and chronic pruritus with unknown cause induces monkey epidermal HDC [
      • Inami Y.
      • Nattkemper L.A.
      • Sakai K.
      • Yosipovitch G.
      • Akiyama T.
      Expression of histidine decarboxylase in the epidermis of primates with chronic itch.
      ]. These findings suggest that increased HDC expression in the epidermis plays a role in itch. In this study, we investigated the correlation between epidermal HDC and visual analogue scale (VAS; score range: 0–10) in patients with AD and identified the cells expressing HDC in the epidermis.
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