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Background: Atopic dermatitis (AD) is the most common inflammatory skin disease in children, with 30% of all those diagnosed developing chronic or relapsing disease by adolescence. Such disease persistence cannot yet be predicted. The aim of the present study was to predict the natural course of AD using clinical parameters and serum proteins. Methods: Sera of 144 children with AD (age 0‐3 years) were analyzed for IgE and 33 cytokines, chemokines, and growth factors. Patient disease course until the age of 7 years was assessed retrospectively. Unsupervised k‐means clustering was performed to define disease endotypes. Identified factors associated with AD persistence at the age of 7 years were validated in children with AD in an independent cohort (LISA Munich; n = 168). Logistic regression and XGBoosting methods followed by cross‐validation were applied to predict individual disease outcomes. Results: Three distinct endotypes were found in infancy, characterized by a unique inflammatory signature. Factors associated with disease persistence were disease score (SCORAD), involvement of the limbs, flexural lesion distribution at the age of 3 years, allergic comorbidities, and disease exacerbation by the trigger factors stress, pollen exposure, and change in weather. Persistence was predicted with a sensitivity of 81.8% and a specificity of 82.4%. Factors with a high impact on the prediction of persistence were SCORAD at the age of 3 years, trigger factors, and low VEGF serum levels. Conclusion: Atopic dermatitis in infancy comprises three immunological endotypes. Disease persistence can be predicted using serum cytokines and clinical variables. [ABSTRACT FROM AUTHOR]

Airborne pollen concentrations vary depending on the location of the pollen trap with respect to the pollen sources. Two Hirst-type pollen traps were analyzed within the city of Munich (Germany): one trap was located 2 m above ground level (AGL) and the other one at rooftop (35 m AGL), 4.2 km apart. In general, 1.4 ± 0.5 times higher pollen amounts were measured by the trap located at ground level, but this effect was less than expected considering the height difference between the traps. Pollen from woody trees such as Alnus, Betula, Corylus, Fraxinus, Picea, Pinus and Quercus showed a good agreement between the traps in terms of timing and intensity. Similar amounts of pollen were recorded in the two traps when pollen sources were more abundant outside of the city. In contrast, pollen concentrations from Cupressaceae/Taxaceae, Carpinus and Tilia were influenced by nearby pollen sources. The representativeness of both traps for herbaceous pollen depended on the dispersal capacity of the pollen grains, and in the case of Poaceae pollen, nearby pollen sources may influence the pollen content in the air. The timing of the pollen season was similar for both sites; however, the season for some pollen types ended later at ground level probably due to resuspension processes that would favor recirculation of pollen closer to ground level. We believe measurements from the higher station provides a picture of background pollen levels representative of a large area, to which local sources add additional and more variable pollen amounts. [ABSTRACT FROM AUTHOR]