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Epidemiologic Evaluation of Patients with Atopic Eczema Older than 14 Years


Authors: J. Čelakovská 1;  K. Ettlerová 2;  K. Ettler 1;  J. Bukač 3
Authors‘ workplace: Klinika nemocí kožních a pohlavních FN a LF UK Hradec Králové přednosta doc. MUDr. Karel Ettler, CSc. 1;  Ambulance klinické imunologie a alergologie, Hradec Králové vedoucí lékařka MUDr. Květuše Ettlerová 2;  Ústav lékařské biofyziky LF UK Hradec Králové přednosta doc. Ing. Josef Hanuš, CSc. 3
Published in: Čes-slov Derm, 83, 2008, No. 5, p. 247-256
Category: Clinical and laboratory Research

Overview

The incidence of allergic diseases has increased intensely in last 30 years. Prevalence of atopic eczema has been increasing worldwide during the last decades, especially in industrialized countries. There is a lack of reports focusing on long-term studies evaluating the course of atopic eczema with respect to association with other allergic symptoms in affected patients. The aim of our study is to evaluate the epidemiological data in patients with atopic eczema on the basis of questionnaire and to evaluate statistically the association between investigated catogories (the onset of atopic eczema, the occurence of asthma bronchiale, the occurence of adverse effects of food and food allergy, the occurence of seasonal or permanent rhinoconjunctivitis). Statistic evaluation (classification independency tested by χ2 test) of results showed that the onset of atopic eczema before 5 years of age is associated with statistically significant increase in frequency of adverse effects of food in adults and more frequent worsening of atopic eczema in relation to food. On the other hand, our results did not show relation of asthma bronchiale to the onset of atopic eczema before 5 years of age.

Key words:
atopic eczema – asthma bronchiale – rhinitis – adverse effects of food


Sources

1. Arshad, SH., Tariq, SM., Matthews, S., Hakimo, E., Katamura, K., Ito., S., Hirao, T. Sensitization to common allergens and its association with allergic disorders at age 4 years: a whole population birth cohort study. Pediatrics, 2001, 108, E 33.

2. Bergmann, RL., Edenharter, G., Bergmann, KE. Atopic dermatitis in early infancy predicts allergic airway disease at 5 years. Clin Exp Allergy, 1998, 28, p. 965-70.

3. Bonifazi, E., Meneghini, LC. Atopic dermatitis in the first six months of life. Acta Derm Venereol Suppl, 1989, 144, p. 20-2.

4. Dunlop, A., Reichrtova, E., Palcovicova, L., Ciznar, P. Environmental and dietary risk factors for infantile atopic eczema among a Slovak birth cohort. Pediatr Allergy Immunol, 2006, 17, p. 103-111.

5. Guillet, G., Guillet, MH. Natural history of sensitizations in atopic dermatitis. A 3 years follow-up in 250 children: food allergy and high risk of respiratory symptoms. Arch Dermatol, 1992, 128, p. 187-192.

6. Gustafsson, D., Sjoberg, O., Foucard, T. Development of allergies and asthma in infants and young children with atopic dermatitis – a prospective follow-up to 7 years of age. Allergy, 2000, 55, 3, p. 240-245.

7. Chromej, I. Atopický ekzém, Dali Banská Bystrica, Bratislava, 2007, ISBN neuvedeno.

8. JOHANSSON, SGO., BIEBER, T., DAHL, R., FRIEDMANN, PS., LANIER, BQ., LOCKEY, RL. et al. Revised nomenclature for allergy for global use: report of the Nomenclature Review Committee of the World Allergy Organization. J Allergy Clin Immunol, 2004, 113, p. 832-836.

9. Kerschenlohr, K., Decard, S., Darsow, U., Ollert, M., Wollenberg, A. Clinical and immunologic reactivity to aeroallergens in „intrinsic“ atopic dermatitis patients. J Allergy Clin Immunol, 2003, 111, p. 195-197.

10. Krejsek, J., Kopecký, O. Klinická imunologie, Nucleus 2004, Hradec Králové, ISBN 80-86225-50-X.

11. Martinez, FD., Wright, AL., Taussig, LM., Holberg, CJ., Halonen, M., Morgan, WJ. Asthma and wheezing in the first six years of life. N Engl J Med, 1995, 332, p. 133-8.

12. Novak, N., Bieber, T., Leung, DYM. Immune mechanisms leading to atopic dermatitis. J Allergy Clin Immunol., 2003, 112 (suppl), p. 128-139.

13. Ricci, G., Patrizi, A., Baldi, E., Menna, G., Tabanelli, M., Masi, M. Long- term follow-up of atopic dermatitis: Retrospective analysis of related risk factors and association with concomitant allergic diseases. J Am Acad Dermatol, 2006, 55, 5, p. 765-771.

14. Ohshima, Y., Yamada, A., Hiraoka, M., Katamura, K. Early sensitization to house dust mite is a major risk factor for subsequent development of bronchial asthma in Japanese infants with atopic dermatitis: results of a 4-year follow-up study. Ann Allergy Asthma Immunol, 2002, 89, p. 265-270.

15. Schultz-Larsen, F., Hanifin, JM. Epidemiology of atopic dermatitis. Immunol Allergy Clin North Am, 2002, 22, p. 1-24.

16. Špičák, V., Panzner, P. Alergologie, Galén 2004, Praha, 1. vyd., ISBN 80-7262-265-X., str. 191.

17. Yates, VR., Kerr, REI., Mackie, RM. Early diagnosis of infant seborrhoic dermatitis and atopic dermatitis clinical features. Br J Dermatol, 1983, 108, p. 633-8.

18. Taylor, B., Wadsworth, J., Wadsworth, M., Peckham, C. Changes in reported prevalence of childhood eczema since the 1939-45 war. Lancet, 1984, 2, p. 1255-7.

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