The prevalence of atopic dermatitis history in asthmatic children
Keywords:
atopic dermatitis, asthma, atopy, allergic
Abstract
Background Atopic dermatitis (AD) is a risk factor of asthma. Thereis still limited information about its prevalence and characteristics
in asthmatic children.
Objective To find out the prevalence of AD history in asthmatic
children.
Methods This was a cross-sectional study conducted at the De-
partment of Child Health, Cipto Mangunkusumo Hospital, Jakarta,
from July until December 2004. Patients with asthma who were at
or less than 5 years of age were included in the study. The parents
had completed study questionnaire about asthma, AD, and some
information about atopic family history, the food history in infant
period and environment factors.
Results Ninety children met the inclusion criteria. Male and female
ratio was 1.5:1. Most of subjects reported onset of asthma in 12-
36 months of age. The history of AD was found in 26% of asth-
matic children with quite similar number for both sexes. All sub-
jects had atopic family history with asthma as the most common
manifestation. The environment factors contributed to this event
were mother’s diet containing allergen and smoking history in family
during pregnancy and lactation period. More than half of subjects
had no breast-feeding. Solid food and formulated milk had been
early-introduced.
Conclusion History of AD is found in 26% asthmatic children.
The percentage of characteristic distribution of factors which had
been assumed has a role in asthma and AD was similarly equal
between subjects with and without history of AD
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In: Bierman CW, Pearlman DS, Shafiro GG, Busse WW,
editors. Allergy, asthma, and immunology from infancy
to adulthood. 3th ed. Philadelphia: WB Saunders;
1996. p. 79-88.
2. Rahajoe N, Supriyatno B, Setiyanto DB. Epidemiologi
asma. In: Rahajoe N, Supriyatno B, Setiyanto DB, edi-
tors. Pedoman nasional asma anak. Jakarta: UKK
Pulmonologi PP IDAI; 2004. p. 1-4.
3. Akib AAP. Perjalanan alamiah penyakit alergi dan
upaya pencegahannya. In: Akib AAP, Tumbelaka AR,
Matondang CS, editors. Pendekatan imunologis
berbagai penyakit alergi dan infeksi. Naskah lengkap
PKB Ilmu Kesehatan Anak XLIV. Jakarta: BP FKUI;
2001. p. 117-27.
4. Leung D. Optimizing the management of atopic der-
matitis: What is the role of elidel? Presented at
APAPARI-KAPARD Joint congress. Seoul. 2005.
5. Illi S, Motius E, Lou S, Nickel R, Gruber C, Niggeman
B, et al. The natural course of atopic dermatitis from
birth to age 7 years and the association with asthma. J
Allergy Clin Immunol 2004;113:925-31.
6. Caffareli C, Deriu FM, Terzi V, Perrone F, de Angelis
G, Atherton DJ. Gastrointestinal symptoms in patients
with asthma. Arch Dis Child 2000;82:131-5.
7. Rahajoe N, Prastowo SP, Said M, Setyanto DB.
Gambaran pasien serangan asma yang datang ke
IGD RSCM tahun 1998 [Abstract]. Presented at
11th National Child Health Congress, Jakarta;
1999 July.
8. De Marco R, Locatelli F, Sunyer J, Burney P. Differ-
ences in incidence of reported asthma related to age
in men and women. Am J Respir Crit Care Med
2000;162:68-74.
9. Matondang CS. Spectrum of asthma in children visit-
ing the outpatient clinic of subdivision of allergy and
immunology. Paediatr Indones 1991;31:150-64.
10. Ball TM, Rodriguez JAC, Griffit KA, Holberg CJ,
Martinez FD, Wright AL. Siblings, day-care atten-
dance, and risk of asthma and wheezing during child-
hood. J Med 2000;343:538-43.
11. Ohshima Y, Yamada A, Hiraoka M. Early sensitiza-
tion to house dust mite is a major risk factor for sub-
sequent development of bronchial asthma in Japa-
nese infant with atopic dermatitis result of a 4-year
follow up [Abstract]. Ann Allergy Asthma Immunol
2002;89:265-70.
12. Zeiger RS. Food allergen avoidance in the prevention
of food allergy in infants and children. Pediatrics
2003;111:1662-71.
13. Gruber C, Illi S, Lau S, Nickel R, Forster J, Kamin W,
et al. Transient suppresion of atopy in early childhood
is associated with high vaccination covarage. Pediat-
rics 2003;111:282-8.
14. Morkjaroenpong V, Rand CS, Butz AM, Eggleston P,
Malveaux FJ. Environmental tobacco smoke expo-
sure and nocturnal symptoms among inner city chil-
dren with asthma. J Allergy Clin Immunol 2002;
110:147-53.
15. Asterina R. Gambaran klinis asma anak yang menetap
hingga usia di atas tujuh tahun pada pasien rawat jalan
di IKA FKUI-RSCM [thesis]. Jakarta: Universitas
Indonesia; 2003.
16. Saarinen UM, Kojasaari M. Breastfeeding as prophy-
laxis against atopic disease: Prospective follow-up study
until 17 years old. Lancet 1995;346:1065-9.
17. Kull I, Wickman M, Lilja G, Nordvall SL, Pershagen
G. Breast feeding and allergic diseases in infants-a
prospective birth cohort study. Arc Dis Child
2002;87:478-81.
18. Adisasmito AW. Faktor risiko terjadinya alergi
respiratorik pada anak dengan riwayat dermatitis atopi
[thesis]. Jakarta: Universitas Indonesia; 1998.
19. Zieger RS, Heller S. The development and prediction
of atopy in hig-risk children: Follow up at age seven
years in a prospective randomize study of combine
maternal and infant food alergen avoidance. J Allergy
Clin Immunol 1995;95:1179-90.
20. Gustafsson D, Sjöberg D, 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;55:240-5.
21. Moon A, Kleinman RE. Allergic gastroenteropathy in
children. Ann Allergy Asthma Immunol 1995;74:5-12.
Published
2016-10-18
How to Cite
1.
Suryati R, Akib A, Boediman I, Latief A. The prevalence of atopic dermatitis history in asthmatic children. PI [Internet]. 18Oct.2016 [cited 26Apr.2024];46(4):164-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/922
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Received 2016-10-14
Accepted 2016-10-14
Published 2016-10-18
Accepted 2016-10-14
Published 2016-10-18
