Atopic dermatitis in Tunisian schoolchildren

Abstract

IntroductionThe prevalence of atopic dermatitis (AD) is low in North Africa. We describe the epidemiology of this atopic condition among school children in Tunisia.MethodsWe conducted a Cross-sectional survey study of 5 to 6-year-old schoolchildren from 21 primary schools of Sfax. The diagnosis of AD was based on the U.K. Working Party diagnostic criteria. A questionnaire including these criteria and some risk factors of AD was issued to the children. All children were examined by one dermatologist.ResultsAmong the 1617 examined children, ten had AD giving a one-year prevalence of 0.65%. The overall sex ratio was 2.33. The disease occurred before the age of 2 years in 3 children. Pure AD without concomitant respiratory allergies was noted in 3 cases. One first-degree family member with atopy was at least noted in seven children. The strongest associated factor was the presence of AD in at least one parent and maternal age at the time of the child birth. Nor breast-feeding neither environmental characteristics of the house did correlate with AD.ConclusionThe prevalence of AD in Tunisian schoolchildren is low but comparable to those of other developing countries. Family history of atopy and maternal age at the birth time was the most important associated factors.

Magnitude and associated factors of Atopic dermatitis among children in Ayder referral hospital, Mekelle, Ethiopia

“…This is in agreement with study conducted in Sweden [ 36 ], Yerevan [ 33 ], and Iran [ 31 ] and systemic review in European countries [ 34 ] which showed a significant association to AD. However, it is in contrary to the findings from Tunisia [ 29 ] and Ethiopia at Jimma [ 13 ].…”

“…The finding is slightly higher than studies conducted in the country at Ankober mobile clinic which was 4.67 % [ 23 ], and at Jimma 4.4 % [ 13 ]. However, it is less compared to studies from America 11 % [ 26 ], Argentina 41.1 % [ 27 ] and Japan 18.6 % [ 28 ] but still higher from the Tunisian study of 0.65 % [ 29 ]. The difference in the proportion of AD reported among the studies might be due to the geographical difference, use of different diagnostic criteria for diagnosis and the age group considered, study season and period.…”

The Epidemiology and Global Burden of Atopic Dermatitis: A Narrative Review

“…In Tunisia, 1617 children were involved in determining the prevalence of AD in 2007. A result of 0.65% prevalence of AD was reported among five to six years old Tunisian children [ 59 ]. Next, Namibian adolescents aged between 15 to 30 years old reported having a prevalence of 43.3% during a study conducted in 2014 [ 60 ].…”

Profil dermatitis atopik pada anak di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2013 – Desember 2015

“…4 Berdasarkan status penderita didapatkan faktor pencetus terbanyak ialah faktor genetik atau memiliki riwayat atopik yaitu 44 (37,61%) kasus (Tabel 4). Penelitian yang dilakukan Amouri et al 15 di Singapura mendapatkan 69,3% kasus memiliki riwayat atopi personal yaitu rinitis alergi 34,5%, asma 9,5%, serta rinitis alergi dan asma 25,5%. 15 Pada penelitian di Spanyol yang dilakukan oleh Aragounes et al 17 didapatkan sebanyak 55% pasien DA memiliki riwayat atopi personal rinitis alergi (26%), asma (19%), dan alergi makanan (12%).…”

“…Penelitian yang dilakukan Amouri et al 15 di Singapura mendapatkan 69,3% kasus memiliki riwayat atopi personal yaitu rinitis alergi 34,5%, asma 9,5%, serta rinitis alergi dan asma 25,5%. 15 Pada penelitian di Spanyol yang dilakukan oleh Aragounes et al 17 didapatkan sebanyak 55% pasien DA memiliki riwayat atopi personal rinitis alergi (26%), asma (19%), dan alergi makanan (12%). 16 Sejumlah survei berbasis populasi menunjukkan bahwa risiko anak yang memiliki atopik lebih besar ketika ibunya memiliki atopik daripada ayahnya.…”