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Diagnostic criteria for atopic dermatitis in Thai children.
Artículo en Inglés | IMSEAR | ID: sea-39894
ABSTRACT
Atopic dermatitis (AD) is a common skin disease in Thai children. There is no clinical or laboratory gold standard for the diagnosis. It is generally based on the guideline proposed by Hanifin and Rajka. Many studies have shown that some criteria are probably not all that significant in making the diagnosis. This study was designed to evaluate the frequency and diagnostic significance of clinical features of AD in Thai children. The authors studied 108 patients with AD and 103 controls including patients with other skin diseases. The AD group consisted of 60 girls and 48 boys. The mean age was 60.3+/-36.1 months. All previously proposed features were evaluated and the difference infrequency was tested with the chi-square test. History of pruritus, rash on typical distribution, chronically relapsing course, duration more than 6 months, personal or family history of atopy, age of onset before 2 years, recurrent conjunctivitis, itch when sweating, intolerance to rough textile, food and milk intolerance, history of dry skin, seasonal variation, visible dermatitis, dermatitis of a typical distribution, xerosis, ichthyosis vulgaris, foot dermatitis, Dennie-Morgan infraorbital fold, orbital darkening, periorbital dermatitis, pityriasis alba, peri-auricular dermatitis, anterior neck fold, truncal dermatitis, perifollicular accentuation, white dermographism and diffuse scaling of scalp were all significantly more frequent in AD (p < 0.05). A minimum set of diagnostic criteria for AD was derived by using multiple stepwise logistic regression technique. It consisted of history of itchy rash, history of flexural dermatitis, chronicity more than 6 months, and visible xerosis, periorbital dermatitis and perifollicular accentuation.
Asunto(s)
Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Tailandia / Femenino / Humanos / Masculino / Estudios de Casos y Controles / Distribución de Chi-Cuadrado / Modelos Logísticos / Niño / Prevalencia / Factores de Riesgo Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Guía de Práctica Clínica / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo País/Región como asunto: Asia Idioma: Inglés Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Tailandia / Femenino / Humanos / Masculino / Estudios de Casos y Controles / Distribución de Chi-Cuadrado / Modelos Logísticos / Niño / Prevalencia / Factores de Riesgo Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Guía de Práctica Clínica / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo País/Región como asunto: Asia Idioma: Inglés Año: 2004 Tipo del documento: Artículo