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Prevalence and risk factors for atopic dermatitis: a cross-sectional study of 6,453 Korean preschool children

Authors
 Won Jun Choi  ;  Joo Yeon Ko  ;  Jin Wou Kim  ;  Kwang Hoon Lee  ;  Chun Wook Park  ;  Kyu Han Kim  ;  Myeung Nam Kim  ;  Ai Young Lee  ;  Sang Hyun Cho  ;  Young Lip Park  ;  Jee Ho Choi  ;  Seong Jun Seo  ;  Yang Won Lee  ;  Joo Young Roh  ;  Young Min Park  ;  Dong Jae Kim  ;  Young Suck Ro 
Citation
 ACTA DERMATO-VENEREOLOGICA, Vol.92(5) : 467-471, 2012 
Journal Title
ACTA DERMATO-VENEREOLOGICA
ISSN
 0001-5555 
Issue Date
2012
MeSH
Age Distribution ; Age Factors ; Asian Continental Ancestry Group* ; Chi-Square Distribution ; Child ; Child, Preschool ; Cross-Sectional Studies ; Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/ethnology* ; Dermatitis, Atopic/pathology ; Female ; Health Surveys ; Housing ; Humans ; Infant ; Infant, Newborn ; Logistic Models ; Male ; Odds Ratio ; Prevalence ; Prognosis ; Republic of Korea/epidemiology ; Residence Characteristics ; Risk Factors ; Severity of Illness Index ; Skin/pathology ; Sleep Wake Disorders/ethnology ; Surveys and Questionnaires
Keywords
atopic dermatitis ; children ; dermatological examination ; prevalence ; questionnaire ; risk factors
Abstract
The aims of this study were to evaluate the prevalence, severity and risk factors for atopic dermatitis in Korean pre-school children as determined by dermatological examination vs questionnaire survey. A total of 6,453 pre-school children from 59 kindergartens and 14 day-care centres were evaluated. Parents responded to an International Study of Asthma and Allergies in Childhood (ISAAC)-based questionnaire containing questions concerning 23 risk factors, as well as the prevalence, and severity of atopic dermatitis. Fourteen dermatologists then examined the participants according to the Korean diagnostic criteria for atopic dermatitis, and the Eczema Area and Severity Index (EASI) score. Atopic dermatitis prevalence determined by dermatological examination was lower than the questionnaire-based prevalence (9.2% vs 19.1%). Most patients (96.2%) had mild atopic dermatitis according to the EASI score (mean ± SD 3.91 ± 4.73; median 1.5; range 0.2-38.0). However, 17.4% had sleep disturbance, and 56.7% had not obtained complete remission of their rash over the previous 12 months. Among the 12 risk factors, "changing the patient's house to a newly built house during the first year of life" had significant odds ratio. In conclusion, the prevalence of atopic dermatitis in Korea in the ISAAC-based survey conducted by paediatricians was similar to that in several European countries, and lower than the 2006 Korean figure (28.9%). In addition, the prevalence of atopic dermatitis was lower when assessed by dermatological examination than by questionnaire
Files in This Item:
T201203647.pdf Download
DOI
22113882
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Kwang Hoon(이광훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89355
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