Atopic dermatitis: A practice parameter update 2012

Schneider, Lynda C.; Tilles, Stephen A.; Lio, Peter A.; Boguniewicz, Mark; Beck, Lisa A.; LeBovidge, Jennifer; Novak, Natalija; Bernstein, David I.; Blessing-Moore, Joann; Khan, David A.; Lang, David M.; Nicklas, Richard A.; Oppenheimer, John; Portnoy, Jay M.; Randolph, Christopher; Schuller, Diane E.; Spector, Sheldon L.; Wallace, Dana

doi:10.1016/j.jaci.2012.12.672

Cited by 380 publications

(419 citation statements)

References 234 publications

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“…Atopik dermatit (AD) çocukluk çağının en sık görülen, kronik ve ataklarla seyreden, kaşıntılı inflamatuvar deri hastalığıdır (1). Atopik dermatit tüm dünyada önemli halk sağlığı sorunudur, görülme sıklığı genel popülasyonda %0.5-1 iken, çocuklarda yaşam boyu prevalansı %10-20 arasında değişir (2).…”

Section: Introductionunclassified

Food Hypersensitivity in Atopic Dermatitis During Infancy: Skin Prick Testing for Whom?

Emeksiz

Cavkaytar

Aksoy

et al. 2017

Asthma Allergy Immunol

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ÖZGiriş: Atopik dermatit (AD) bebeklik döneminde sık görülen bir hastalıktır. Yaşamın ilk 6 ayında, özellikle ilk 3 ayında başvuran AD'li hastalarda besin duyarlılığı konusunda veri kısıtlıdır. Çalışmada AD tanısı almış bebeklerde başvuru zamanına göre besin duyarlılığı(BD) sıklığının ve ilişkili faktörlerin ortaya konulması amaçlanmıştır.Gereç ve Yöntem: Çalışmamıza S.B. Ankara Eğitim Araştırma Hastanesi Çocuk Allerji ve İmmünoloji Kliniği'ne başvuran AD'li bir yaşından küçük hastalar dahil edildi. Hastaların demografik özellikleri, beslenme durumları, hastalık şiddetleri, deri testi sonuçları kaydedildi. Besin duyarlılığı tanısı varlığında besin deri testi pozitifliği ile kondu. Deri testi pozitif olan hastaların tümü ilgili besinin diyetten eliminasyonundan fayda gördü. Bulgular: Çalışmaya 110 (%70'i erkek) hasta alındı, 23 (%21.6) bebek BD tanısı aldı. Üç aylık ve daha küçük AD'li hastalarda BD olanlarda olmayanlara göre SCORAD indeksi [(25.2 (20.9-34.9 Sonuç: Üç aylık ve daha küçük AD'li bebeklerde serum total IgE düzeyi ve SCORAD indeksi, 3-6 ay arasında ise ek olarak eozinofil ABSTRACT Objective: Atopic dermatitis (AD) is a common disease during infancy. The data on food hypersensitivity (FH) in the first six months and especially in the first three months of life is limited in children with AD. The aim of this study was to find out the frequency of FH and related factors in infants with AD in regard to their referral age. Materials and Methods:Infants younger than 1 years of age who were diagnosed as AD at the Ankara Training and Research Hospital's Department of Pediatrics were included in our study. The demographic features, nutritional status, disease severity and skin test results were recorded. A diagnosis of FH was made in the presence of a positive skin test with the related allergen. All the patients with FH had resolution of the symptoms with the elimination of the relevant food from the diet.Results: One-hundred and ten patients (70% male) were included. In patients younger than 3 months of age, the SCORAD-index and total IgE levels were higher in the patients with FH compared to patients without FH [(25.2(20.9-34.9) vs. 19.2(13.1-24.2), (p=0.034) and 22.2(11.6-52.6)kU/L vs. 4(4-10)kU/L, (p=0.04), respectively]. In patients aged between 3 and 6 months of age, the SCORAD index, total IgE and eosinophil levels were higher in patients with FH compared to patients without .7), (p<0.001)], [42.1(6.3-283)kU/L vs. 8.3(4.8-8.3)kU/L, (p=0.033)], [7.5%(3.9-9.7) vs. 3.5%(1.8-5.8), (p=0.01)]. In patients older than 6 months of age, the SCORAD index, eosinophil and IgE levels were similar between patients with and without FH.

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Section: Introductionunclassified

Food Hypersensitivity in Atopic Dermatitis During Infancy: Skin Prick Testing for Whom?

Emeksiz

Cavkaytar

Aksoy

et al. 2017

Asthma Allergy Immunol

View full text Add to dashboard Cite

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“…W dalszej perspektywie pozwala to na identyfikację potencjalnych alergenów i przyczyn zaostrzeń choroby [7]. LECZENIE W skład kompleksowego leczenia atopowego zapalenia skóry wchodzą: wczesna identyfikacja i unikanie czynników drażniących oraz codzienna terapia emolientowa i właściwa pielęgnacja skóry w połączeniu z okresowym leczeniem przeciwzapalnym.…”

Section: Przyczyny Hospitalizacjiunclassified

Praktyczne aspekty opieki nad dzieckiem chorym na atopowe zapalenie skóry: rola współpracy personelu medycznego z pacjentem i jego rodzicami. Obraz kliniczny, rozpoznanie i leczenie / Practical aspects of caring for a child with atopic eczema: the role of cooperation among medical staff and patients and their parents. Clinical presentation, diagnosis and treatment

Skiba

Połomska

Sikorska-Szaflik

et al. 2016

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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Introduction. Atopic eczema (or atopic dermatitis, AD) has a great impact on the quality of life of the affected person as well as the whole family. Hospitalization may be required during exacerbations of the disease.Aim. The authors of this paper have gathered the essential information about this disease and would like to comment on standards of care and management of atopic dermatitis which are implemented according to the current medical knowledge.Summary. Applying emollients everyday is a recommended practice for avoiding a recurrence of the disease. Basic skin care is just as important as pharmacological treatment during both the acute and chronic stage. In certain cases, dietary interventions such as food elimination may be beneficial. We present some useful ways for the management of pruritus, which is a disabling feature of AD. In the present paper, the authors discuss clinical presentation and treatment of atopic dermatitis.

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“…В подавляющем большинстве случаев он дебютирует в первые 5 лет жизни. В раз-ных возрастных группах показатель превалентности колеблется от 6 до 30% [2,3].…”

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“…[2][3][4][5]. За-болевание является одним из двух известных на сегод-ня типов кожных проявлений пищевой аллергии [6].…”

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“…За-болевание является одним из двух известных на сегод-ня типов кожных проявлений пищевой аллергии [6]. Частота пищевой сенсибилизации, иници ирую щей атопический дерматит, составляет в среднем 30-80% [2,6]. «Заинтересованность» желудочно-кишечного тракта в данном случае несомненна.…”

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Particularly acute intestinal infections in children with atopic dermatitis. Case-control study

Халиуллина¹,

Анохин²

2016

Ross. vestn. perinatol. pediatr.

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Aim -determine the clinical and laboratory features of acute intestinal infection in children, occurring in conjunction with atopic dermatitis (AD).Material and methods. We conducted a study of «case-control», which included observation of 144 children hospitalized in the infectious hospital with a clinic of acute infectious diarrhea in the period from January to December 2012. In the study group were selected 72 children with atopic dermatitis clinic and acute infectious diarrhea in a couple of which, from the group of patients without burdened premorbid background were selected 72 «controls» matched by sex, age and etiology developed acute intestinal infection. The observation time was 5±2 days, which corresponds to the average length of stay of the child, patients with moderate forms of acute intestinal infection in the hospital. Results and discussion. About 2 times more often than in the control, acute intestinal infections in children with atopic dermatitis lesions were characterized by clinic middle and lower gastrointestinal -31.9% (CI 21,1-42,7) vs. 15.3% (CI 7-23 6), p =0.03. A number of bowel movements 6 or more times per day significantly more frequently observed in children with a combination of acute intestinal infections and atopic dermatitis -54.1% (CI 42,6-65,6) vs. 33.3% (CI 22,4-43.9) in the control), p =0.011. The duration of diarrhea was higher in the study group (Med 6 IQR 4-7 days and Med 5 IQR 3-6 days, respectively), p =0.046. The proportion of patients with high fever was also higher in the study group than in the controls -15.3% (CI 7-23,6) vs. 2,8% (CI 1-6,6), p =0.016. Conclusion. Acute intestinal infections in children with atopic dermatitis have a more pronounced clinical symptoms, which is characterized by clinic enterocolitis, severity and duration of diarrhea syndrome, usually accompanied by a high fever.

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Atopic dermatitis: A practice parameter update 2012

Cited by 380 publications

References 234 publications

Food Hypersensitivity in Atopic Dermatitis During Infancy: Skin Prick Testing for Whom?

Food Hypersensitivity in Atopic Dermatitis During Infancy: Skin Prick Testing for Whom?

Particularly acute intestinal infections in children with atopic dermatitis. Case-control study

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