特应性皮炎幼儿食物过敏的风险因素。

IF 2.3 4区 医学 Q3 ALLERGY
Araya Yuenyongviwat, Vanlaya Koosakulchai, Yada Treepaiboon, Wipa Jessadapakorn, Pasuree Sangsupawanich
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引用次数: 0

摘要

背景:特应性皮炎(AD)是一种常见的儿童慢性复发性皮肤病,有充分证据表明三分之一的儿童对食物过敏。然而,有关特应性皮炎儿童食物过敏风险因素的数据却很有限:本研究旨在评估 AD 儿童食物过敏的相关风险因素:这项横断面研究查阅了 119 名 2 至 5 岁注意力缺失症患者的电子病历。研究记录了人口统计学数据、AD 的发病年龄和严重程度、家族过敏史、首次使用抗生素的年龄、首次使用润肤霜的年龄和频率、开始接触致敏食物的年龄以及食物特异性 IgE 水平:结果:食物致敏率为 60%。最常见的食物过敏原是蛋白(56.8%)、牛奶(40%)和小麦(34.7%)。与总体食物过敏相关的重要因素有:父母报告的食物过敏史(OR = 4.4,P = 0.001)、严重的 AD(OR = 4.5,P = 0.03)和母乳喂养超过 6 个月(OR = 3.5,P = 0.002)。与蛋白过敏相关的因素包括父母报告的食物过敏史(OR = 3.8,P = 0.02)和严重AD(OR = 4.2,P = 0.04)。与牛奶过敏相关的重要因素还有:严重的AD(OR = 6,P = 0.03)和母亲有哮喘病史(OR = 10.9,P = 0.01):结论:严重自闭症是与所有食物过敏、鸡蛋过敏和牛奶过敏相关的因素。母亲哮喘与牛奶过敏也有很大关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk factors of food sensitization in young children with atopic dermatitis.

Background: Atopic dermatitis (AD) is a common chronic and relapsing skin disease in children and food allergies have been well documented in one-third of children. However, there are limit data about the risk factors of food sensitization in children with AD.

Objective: The aim of this study was to evaluate the risk factors associated with food sensitization, among AD children.

Methods: A cross-sectional study, from the electronic medical records of 119 AD patients, aged from 2 to 5 years were reviewed. The demographic data, onset and severity of AD, family history of atopy, age of first antibiotic usage, age of first applying and frequency of moisturizer used, age of introduction to allergenic foods and food specific IgE levels were recorded.

Results: The prevalence of food sensitization was; 60%. The most common food allergens were egg white (56.8%), cow's milk (40%) and wheat (34.7%). The significant factors associated with overall food sensitization were; history of parent-reported food allergies (OR = 4.4, P = 0.001), severe AD (OR = 4.5, P = 0.03) and breast feeding > 6 months (OR = 3.5, P = 0.002). Factors associated with egg white allergies were the history of parent-reported food allergies (OR = 3.8, P = 0.02), and severe AD (OR = 4.2, P = 0.04). There were also significant factors associated with cow's milk allergies this being; severe AD (OR = 6, P = 0.03) and a maternal history of asthma (OR = 10.9, P = 0.01).

Conclusions: Severe AD was a factor associated with all food sensitization, egg allergy and cow's milk allergy. Maternal asthma was also significantly associated with cow's milk allergy.

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来源期刊
CiteScore
12.80
自引率
0.00%
发文量
74
审稿时长
>12 weeks
期刊介绍: The Asian Pacific Journal of Allergy and Immunology (APJAI) is an online open access journal with the recent impact factor (2018) 1.747 APJAI published 4 times per annum (March, June, September, December). Four issues constitute one volume. APJAI publishes original research articles of basic science, clinical science and reviews on various aspects of allergy and immunology. This journal is an official journal of and published by the Allergy, Asthma and Immunology Association, Thailand. The scopes include mechanism, pathogenesis, host-pathogen interaction, host-environment interaction, allergic diseases, immune-mediated diseases, epidemiology, diagnosis, treatment and prevention, immunotherapy, and vaccine. All papers are published in English and are refereed to international standards.
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