Peanut protein in environmental dust and surfaces could penetrate disrupted skin because of impaired filaggrin production and could be taken up by Langerhans cells, leading to a TH2 response and IgE production by B cells.38, 39 Studies are investigating the role of thymic stromal lymphopoietin produced by keratinocytes in response to environmental antigens in patients with AD.40 This evidence concerns the gene FLG and Alzheimer disease.