Atopic Dermatitis and Psoriasis Differ in Lesional DEG Reference Instability and Non-Lesional Spectrum Displacement: Multi-Cohort Geometric Evidence of Individual Homeostatic Boundary Escape
By applying a geometric transcriptomic framework to multi-cohort data, this study reveals that atopic dermatitis exhibits greater reference-dependent instability in lesional gene expression due to smaller effect sizes and demonstrates that a significant subset of non-lesional patients has already crossed a homeostatic boundary into disease-specific states, a phenomenon masked by traditional group-averaged analyses.