Clinical manifestations patterns of allergic disease
in Korean children under the age of 6 : multi-center study |
Dong Il Kim1, Hyeon Jong Yang1, Young Mean Park2, Yeong Ho Rha3, Ji Tai Choung4, Bok Yang Pyun1 |
1Department of Pediatrics, College of Medicine, Soonchunhyang University, Seoul, Korea 2Department of Pediatrics, College of Medicine, Konkuk University, Seoul, Korea 3Department of Pediatrics, College of Medicine, Kyunghee University, Korea University , Seoul, Korea 4Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea |
다 기관 설문 조사를 통한 알레르기 질환의 연령별 임상 양상 |
김동일1, 양현종1, 박용민2, 나영호3, 정지태4, 편복양1 |
1순천향대학교 의과대학 소아과학교실 2건국대학교 의과대학 소아과학교실 3경희대학교 의과대학 소아과학교실 4고려대학교 의과대학 소아과학교실 |
Correspondence:
Bok Yang Pyun, Email: bypyun@hosp.sch.ac.kr |
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Abstract |
Purpose : It is widely known that allergic diseases progress through an allergic march. However, there have not been any recent reports in Korea on how the diseases progress.
Methods : Parents who visited one of the Pediatric Allergy Clinics of four university hospitals in Seoul with a child under the age of 6 years during the period from May 1-30, 2006 were asked to complete a questionnaire.
Results : A total of 229 parents answered the questionnaire about their children, of which 122 were male and 107 were female. The most common allergic disease before 2 years of age was atopic dermatitis (79%). Meanwhile, in 2- to 4-year age group, allergic rhinitis (38%) and asthma (37%) were predominant. The most common allergic disease in the 4- to 6-year age group was asthma (72%), followed by allergic rhinitis (64%). Seventy-three percent of the children had a family history of allergic disease, most often in the fathers (39%). Among patients with allergic rhinitis, 50% had experienced asthma in their earlier days and 30% had experienced atopic dermatitis. In addition, 57% of the children with asthma had suffered from atopic dermatitis. Parents believed that asthma was the most serious allergic disease.
Conclusion : In the present study, allergic disease showed a tendency to march from atopic dermatitis to asthma and then to allergic rhinitis. Early diagnosis and treatment of atopic dermatitis is, therefore, considered important for prevention of the allergic march. |
Key Words:
Allergic march, Questionnaire, Multicenter study |
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