Skip to main content

Advertisement

Log in

Asthma in patients with atopic dermatitis

  • Original Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Objective

This cross-sectional study was designed to estimate the frequency of asthma in patients with atopic dermatitis (AD), and its related factors.

Methods

The study population consisted of 236 patients with AD who were referred to Children Medical Center in 1997–2002 and their diagnosis was based on Hanifin & Rajka criteria. Severity of AD was categorized based on Severity Scoring of Atopic Dermatitis (SCORAD) index. Asthma was diagnosed with medical history and clinical examination (three or more episodes of wheezing and/or dyspnea and/or cough after 1 year old). The patients were divided in two groups according to having or not having asthma.

Results

The mean age of patients with AD was 38.67±2.68 month and the mean age at onset of asthma was 20±2.5 month. The frequency of asthma in AD patients was 27.5%. The mean of SCORAD in nonasthmatic patients was 52.27 ± 2.52 and in asthmatic patients was 56.2± 4.2 (P= 0.4). The mean of duration of breastfeeding in asthmatic patients was 12.2±1.6 month and in non-asthmatic patients was 11.16±6.3 month (P = 0.87). There was no significant difference between asthmatic patients and others in serum IgE levels (P = 0.65) and blood eosinophil count. (P = 0.49)

Conclusion

These results confirmed that development of asthma in patients with AD is more than normal population and AD can be a significant predisposing factor to developing asthma but the causative factors are not clear.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hanifin J M. Atopic Dermatitis in infants and children. Pediatr Clin North Am 1991; 38: 763–789.

    PubMed  CAS  Google Scholar 

  2. Patherson R, Grammer LC, Greenberger PA. Allergic diseases diagnosis and management. In Grammer LC et al eds. Atopic Dermatitis. Chicago; Lippincott-reven, 1997; 305–310.

    Google Scholar 

  3. Leong D, Boguniwicz M, Howell MD, Nomura I et al. New insights into atopic dermatitis. J clin Invest 2004; 113: 651–657.

    Google Scholar 

  4. Leung DYM. Pathogenesis of atopic dermatitis. J Allergy Clin Immunol 1999; 144: 99–108.

    Article  Google Scholar 

  5. Wuthrich B. Clinical aspects, epidemiology, and prognosis of atopic dermatitis. Ann Allergy Asthma Immunol 1999; 83: 464–470.

    Article  PubMed  CAS  Google Scholar 

  6. Gustafsson D, Sjoberg O, Foucard T. Development of allergies and asthma in infants and young children with atopic dermatitis-a prospective follow-up to 7 years of age. Allergy 2000; 55: 240–245.

    Article  PubMed  CAS  Google Scholar 

  7. Isolauri E, Sutasc Y, Makinen-Kiljunen, S, Oja S et al. Efficacy and safety of hydrolyzed cow milk and amino acid-derived formulas in infants with cow milk allergy. J Pediatr 1995; 127: 550–557.

    Article  PubMed  CAS  Google Scholar 

  8. Boguniewicz M, Leung DYM. Atopic dermatitis. In Reed C E, Ellis EF, Adkinson NF, Yunginger J W, eds. Allergy, principles and practice. St. Louis; Mosby, 1998; 1123–1134.

    Google Scholar 

  9. Agostoni C, Grandi F, Scaglioni S, Gianni ML et al. Growth Pattern of Breastfed and Nonbreastfed Infants With Atopic Dermatitis in the First Year of Life. Pediatr 2000; 106: 73–83.

    Article  Google Scholar 

  10. Novak N, Bieber T, Leung DYM. Immune mechanisms leading to atopic dermatitis. J Allergy Clin Immunol 2003; 112: 128–140.

    Article  CAS  Google Scholar 

  11. Fennessy M, Coupland S, Popay J, Naysmith K. The epidemiology and experience of atopic eczema during childhood: a discussion paper on the implications of current knowledge for health care, public policy and research. J Epidemiol Community Health 2000; 54: 581–589.

    Article  PubMed  CAS  Google Scholar 

  12. Kallstorm E, Roscher I, Andersson A, Back O et al. Decreased frequency of intracellular INF-γ producing T cells in whole blood preparations from patients with atopic dermatitis. Exp Dermatol 2002; 11: 556.

    Article  Google Scholar 

  13. Greenberger PA. Asthma. In Patterson R, Grammer LC, Greenberger PA, eds. Allergic Diseases. Philadelphia; Lippincott-Raven, 1997; 467–542.

    Google Scholar 

  14. Eichenfield LF, Hanifin JM, Beck LA, Lemanske RF et al. Atopic dermatitis and asthma: Parallels in the evolution of treatment. Pediatr 2003; 111: 608–616.

    Article  Google Scholar 

  15. Motz CG, Lauritsen JM, Bindslev-Jensen C, Andersen KE. Prevalence of atopic dermatitis, asthma, allergic rhinitis, hand and contact dermatitis in adolescents. The odence adolescence cohort study on atopic diseases and dermatitis. Br J Dermatol 2001; 144: 523–532.

    Article  Google Scholar 

  16. Kawada T. Risk factors and prevalence of asthma or atopic dermatitis in young children by a questionnaire survey. J Nippon Med Sch 2004; 71: 167–171.

    Article  PubMed  Google Scholar 

  17. Adonoff AD, Clark RF. Atopic dermatitis: management of skin disease. In Bierman CW, Pearlman DS, Shapiro GG, Busse WW, eds. Allergy, asthma and immunology from infancy to adulthood. Philadelphia; Saunders, 1996; 613–626.

    Google Scholar 

  18. Wolkerstorfer A, de Waard van der Speck FB, Glanzenburg EJ, Mulder PG, Oranje AP. Scoring the severity of atopic dermatitis: three item severity score as a rough system for daily practice and as a pre-screening tool for studies. Acta Derm Venereol 1999; 79: 356–359.

    Article  PubMed  CAS  Google Scholar 

  19. Sprikkelman AB, Tupker RA, Burgerhof H, Schouten JP et al. Severity scoring of atopic dermatitis: a comparison of three scoring system. Allergy 1997; 52: 944–949.

    Article  PubMed  CAS  Google Scholar 

  20. Charman C, Chambers C, Williams H. Measuring atopic dermatitis severity in randomized controlled clinical trials: what exactly are we measuring? J Invest Dermatol 2003; 120: 932–941.

    Article  PubMed  CAS  Google Scholar 

  21. Demoly P, Michel F B, Bousquet J. In vivo methods for study of allergy skin tests, techniques and interpretation. In Middelton E Jr, Reed CE, Ellis EF, Adkinson NF Jr, Yunginger J W, Busse W W, eds. Allergy, principles and practice. St. Louis; Mosby, 1997; 430–440.

    Google Scholar 

  22. Masjedi MR, Fadiizadeh L, Najafizadeh K, Dokouhaki P. Prevalence and severity of asthma symptoms in children of the Tehran-ISAAC study. Pediatr Asthma Allergy Immunology 2000; 17: 244–250.

    Article  Google Scholar 

  23. Global Initiative for Asthma. Latest FINA reports: Global Burden of Asthma [on line]. May 2004; available from: www.ginasthma.com.accessed

  24. Masgedi MR, Fadaizadeh L, Najafizadeh K and Dokouhaki P. Prevalance and severity of Asthma in children of Teharan-ISSAC study. Pediatr Asthma Allergy Immunol 2004; 244–250.

  25. N Wadona-Kabondo, JAC Sterne, J Golding, CTC Kennedy, CB Archer, MGS Dunnill. Association of parental eczema, hay fever, and asthma with atopic dermatitis in infancy: birth cohort study. Arch Dis Child 2004; 89:917–921.

    Article  Google Scholar 

  26. Ishii N, Takahashi K, Sugita Y, Nakajima H. Atopic dermatitis apparently caused by type II CD8+ T cells in an AIDS patients. Clin Exp Dermatol 1998; 23: 121–122.

    Article  PubMed  CAS  Google Scholar 

  27. Parslow TG, Stities DP, Terr A, Imboden KB. Medical Immunology. Terr A The Atopic Dermatitis 1997; 349–354.

  28. Rherison C, Nejjari C, Marty M L, Filleul L et al. IgE level and Phadiatop in an elderly population from the PAQUID cohort: relationship to respiratory symptoms and smoking. Allergy 2004; 59: 940–945.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Z. Pourpak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pourpak, Z., Mozaffari, H., Gharagozlou, M. et al. Asthma in patients with atopic dermatitis. Indian J Pediatr 75, 139–141 (2008). https://doi.org/10.1007/s12098-008-0021-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-008-0021-x

Key words

Navigation