Atopic Diathesis in Patients with Kawasaki Disease
Resource
J. Pediatr., 163(3), 811-815
Journal
The Journal of Pediatrics
Pages
811-815
Date Issued
2013
Date
2013
Author(s)
Hwang, Chian-Yaw
Hwang, Yu-Ya
Chen, Yi-Ju
Chen, Chih-Chiang
Lin, Ming-Wei
Chen, Tzeng-Ji
Lee, Ding-Dar
Chang, Yun-Ting
Wang, Wen-Jeng
Liu, Han-Nan
Abstract
Objective To determine the association between Kawasaki disease (KD) and atopic diathesis (atopic dermatitis [AD], allergic rhinitis, and asthma) in children younger than 5 years of age.
Study design In this nationwide study, we aimed to analyze the association and temporal relationship between KD and atopic diathesis. Data were obtained from the National Health Insurance Research Database of Taiwan from 1997 to 2010. In total, 200 patients with KD younger than 5 years of age and 800 age-and sex-matched control subjects were enrolled.
Results In the whole study population, an increased risk of any concomitant atopic diseases was observed in patients with KD (OR 1.61, 95% CI 1.15-2.26). The risk of AD was increased in male patients between 1 and 5 years of age (OR 3.02, 95% CI 1.22-7.50). More than 60% of the patients developed atopic diseases after the diagnosis of KD.
Conclusion There appears to be an association between KD and risk of AD. Most of the atopic diseases occurred after the episode of KD.
Study design In this nationwide study, we aimed to analyze the association and temporal relationship between KD and atopic diathesis. Data were obtained from the National Health Insurance Research Database of Taiwan from 1997 to 2010. In total, 200 patients with KD younger than 5 years of age and 800 age-and sex-matched control subjects were enrolled.
Results In the whole study population, an increased risk of any concomitant atopic diseases was observed in patients with KD (OR 1.61, 95% CI 1.15-2.26). The risk of AD was increased in male patients between 1 and 5 years of age (OR 3.02, 95% CI 1.22-7.50). More than 60% of the patients developed atopic diseases after the diagnosis of KD.
Conclusion There appears to be an association between KD and risk of AD. Most of the atopic diseases occurred after the episode of KD.
Subjects
AD; Allergic rhinitis; AR; Atopic dermatitis; CAA; Coronary artery aneurysm; ICD-9; International Classification of Diseases, Ninth Revision; Kawasaki disease; KD; LHID2000; Longitudinal Health Insurance Database 2000
SDGs
Other Subjects
allergic rhinitis; article; asthma; atopic dermatitis; atopy; child; comorbidity; controlled study; female; human; male; mucocutaneous lymph node syndrome; preschool child; prevalence; priority journal; risk; AD; Allergic rhinitis; AR; Atopic dermatitis; CAA; Coronary artery aneurysm; ICD-9; International Classification of Diseases, Ninth Revision; Kawasaki disease; KD; LHID2000; Longitudinal Health Insurance Database 2000; Asthma; Case-Control Studies; Child, Preschool; Databases, Factual; Dermatitis, Atopic; Female; Humans; Hypersensitivity, Immediate; Infant; Infant, Newborn; Logistic Models; Male; Mucocutaneous Lymph Node Syndrome; Multivariate Analysis; Prevalence; Rhinitis, Allergic, Perennial; Rhinitis, Allergic, Seasonal; Risk Factors; Taiwan
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