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ISSN 1405-1699 (Print)
Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2000, Number 1

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Alerg Asma Inmunol Pediatr 2000; 9 (1)

Clinical profile in patients with atopic dermatitis

Almendarez FC, Jiménez CI, Orozco MS

Language: Spanish
References: 22
Page: 6-15
PDF size: 682.81 Kb.


ABSTRACT

Introduction: Atopic dermatitis (AD) is a chronic inflammatory skin condition; is consider like allergic disease and produce a substantial pediatric morbidity and individual dysfunction, making its mechanisms and appropriate target for preventive strategies. Knowing the clinical and epidemiological characteristics of the patients with atopic dermatitis are important in order to recognize a clinical profile who allow to the pediatrician and allergist to take preventive measures in our population. Methods: This is a retrospective, descriptive cohort study. We revised all clinical records of the patients with criteria of atopic dermatitis since January 1989 to December 1999, in the Allergy Department of the National Institute of Pediatrics in Mexico City. The major objective of this study was identifying the clinical and epidemiological characteristics to define the clinical profile of the patient with atopic dermatitis. The variables studied were: gender, age, family history of allergy, weight and high percentiles, time of breastfeeding, major and minor criteria, anatomic site of the eczema, medical and allergic diagnosis associated with atopic dermatitis sensitization to allergens, treatment and evolution. Results: We include 76 clinical records of patients with criteria of atopic dermatitis. The average of age was seven years (range 0.8-14 years) 65.8% (50/76) of the patients were male and 72% (55/76) of the patients were from Mexico city and 28% (21/76) from other states. 59% have weight and high in 50/50 percentile diagnosis (Tubular renal acidosis, Hypothyroidism, Immunodeficiency). The more frequent localization of the eczema were flexural areas, 83% (63/76) have prick skin test positive and five were minor to 1 year old. The food allergy was associated in 17% of the patients and 74% (47/63) were sensitized to Dpt, Df. The more frequent exacerbation factors were skin infections (48%) dust (23%) food (21%) sweat (8%). 38% of the patients show asthma and allergic rhinitis associated with atopic dermatitis. 98.7% had a good clinical evolution 87% of the patient with skin prick test use immunotherapy without relapses. Discussion: The clinical profile of the patients attend in the National Institute of Pediatrics were frequently male gender, between 6 to 9 years with weight ant high in the 50/50 percentile, positive family history of allergy, and received less than 3 months of breastfeeding enhancing the risk of sensitization to aeroallergens and are associated with asthma and allergic rhinitis.


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