特应性皮炎与梅尼埃病之间的关系:全国队列研究

IF 2.2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Laryngoscope Pub Date : 2024-11-12 DOI:10.1002/lary.31906
Cha Dong Yeo, Haeng-Jin Lee, Jong Seung Kim, Eun Jung Lee
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引用次数: 0

摘要

目的:特应性皮炎(AD)是一种慢性炎症性皮肤病,以复发和缓解为特征。虽然特应性皮炎与其他过敏性疾病的关系众所周知,但其与梅尼埃病的关系尚未得到深入研究。本研究旨在探讨 AD 与美尼尔氏病之间的潜在相关性:本研究利用的数据来自全国健康保险服务-全国抽样队列,这是一个基于全国人口的数据库。注意力缺失症组是从数据库中随机抽取的 100 万人中选出的。非 AD 组则通过倾向得分匹配获得:AD组包括84,579人,非AD(对照)组人数相等。在 AD 组中,梅尼埃病的总危险比 (HR) 为 1.44(95% 置信区间 (CI):1.31-1.6)。亚组分析显示,男性梅尼埃病的调整后危险比为 0.42(95% 置信区间:0.38-0.48),中年组(40-59 岁)为 4.99(95% 置信区间:4.45-5.62),老年组(≥60 岁)为 8.21(95% 置信区间:7.21-9.35)。此外,患有过敏性鼻炎(1.18 [95% CI, 1.07-1.32])、过敏性接触性皮炎(1.32 [95% CI, 1.19-1.48])和过敏性结膜炎(1.54 [95% CI, 1.32-1.82])等合并症的患者患美尼尔氏病的调整后HRs更高:结论:长期随访显示,与对照组相比,注意力缺失症组的梅尼埃病发病率高出1.44倍。此外,年龄偏大、女性、过敏性鼻炎、过敏性接触性皮炎和过敏性结膜炎被认为是增加梅尼埃病发病风险的因素:3 《喉镜》,2024 年。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between Atopic Dermatitis and Meniere's Disease: Nationwide Cohort Study.

Objectives: Atopic dermatitis (AD) is a chronic inflammatory skin condition characterized by relapsing and remitting episodes. Although AD is well-known for its association with other allergic conditions, its relationship with Meniere's disease has not been thoroughly investigated. This study aimed to explore the potential correlation between AD and Meniere's disease.

Methods: This study utilized data from the National Health Insurance Service-National Sample Cohort, a nationwide population-based database. The AD group was selected from a cohort of 1 million individuals randomly extracted from database. A non-AD group was obtained through Propensity Score Matching.

Results: The AD group comprised 84,579 individuals, with an equal number of individuals in the non-AD (control) group. The overall hazard ratio (HR) for Meniere's disease in the AD group was 1.44 (95% confidence interval (CI): 1.31-1.6). Subgroup analysis showed an adjusted HR of 0.42 (95% CI: 0.38-0.48) for Meniere's disease in males, 4.99 (95% CI: 4.45-5.62) in the middle-aged group (40-59 years), and 8.21 (95% CI: 7.21-9.35) in the older age group (≥60 years). Additionally, the adjusted HRs for developing Meniere's disease were higher in patients with comorbidities, including allergic rhinitis (1.18 [95% CI, 1.07-1.32]), allergic contact dermatitis (1.32 [95% CI, 1.19-1.48]), and allergic conjunctivitis (1.54 [95% CI, 1.32-1.82]).

Conclusion: Long-term follow-up revealed that the prevalence of Meniere's disease was 1.44 times higher in the AD group compared to the control group. Moreover, older age, female sex, allergic rhinitis, allergic contact dermatitis, and allergic conjunctivitis were identified as factors that increase the risk of developing Meniere's disease.

Level of evidence: 3 Laryngoscope, 2024.

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来源期刊
Laryngoscope
Laryngoscope 医学-耳鼻喉科学
CiteScore
6.50
自引率
7.70%
发文量
500
审稿时长
2-4 weeks
期刊介绍: The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects
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