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Journal of the American Academy of Dermatology
Volume 71, n° 6
pages 1160-1166 (décembre 2014)
Doi : 10.1016/j.jaad.2014.07.031
accepted : 17 July 2014
Original Articles

Utility of serum thymus and activation-regulated chemokine as a biomarker for monitoring of atopic dermatitis severity

Janneke Landheer, MD a, Marjolein de Bruin-Weller, MD, PhD a, Chantal Boonacker, PhD b, DirkJan Hijnen, MD, PhD a, Carla Bruijnzeel-Koomen, MD, PhD a, Heike Röckmann, MD, PhD a,
a Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, The Netherlands 
b Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands 

Reprint requests: Heike Röckmann, MD, PhD, Department of Dermatology, University Medical Center, Heidelberglaan 100, G 02.124, 3584 CX Utrecht, The Netherlands.

Serum thymus and activation-regulated chemokine (sTARC) levels reflect disease severity of atopic dermatitis (AD) in small study populations. It remains unclear whether sTARC is a reliable outcome measurement for AD severity in heterogeneous AD populations in daily practice.


We sought to assess the utility of sTARC as a biomarker for monitoring AD severity in adults in daily practice.


sTARC, clinical skin score (Six Area, Six Sign AD [SASSAD]), and body surface area measurements were collected from all adult patients with AD visiting our clinic between March 2009 and March 2012, at first visit or exacerbation (baseline). In addition, data from short-term and long-term follow-up visits were collected.


At baseline sTARC levels ranged widely (n = 320; minimum-maximum: 3-50,400 pg/mL) and sTARC and SASSAD or body surface area correlated moderately. In the majority of patients, sTARC and SASSAD or body surface area changed congruently during follow-up.


Data were collected retrospectively.


sTARC may represent a suitable biomarker for monitoring of AD severity in daily practice.

The full text of this article is available in PDF format.

Key words : atopic dermatitis, body surface area, disease severity, follow-up, serum thymus and activation-regulated chemokine, Six Area, Six Sign Atopic Dermatitis

Abbreviations used : AD, BSA, SASSAD, SCORAD, sTARC

 Funding sources: None.
 Conflicts of interest: None declared.

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