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Review Article

Med Arch. 2010; 64(3): 178-182


Clinical Characteristics and Estimation Severity of the Atopic Dermatitis in Children

Almira Cosickic, Fahrija Skokic, Belkisa Colic-Hadzic, Maida Jahic.




Abstract

Clinical characteristics of Atopic Dermatitis (AD) in children were analyzed, and severity of illness was estimated using SCORAD point system index and Three Item Severity score (TIS) index. The research was done at the Clinic for Children Diseases in Tuzla. The inclusion criteria were: diagnosis of AD according to Hanifin and Rajka criterions, age up to 15. The exclusion criteria were: not meeting the criteria for an AD diagnosis, over 15 years of age, usage of anti-histamines in the last 5 days and/or usage of corticosteroids in the last 4 weeks, and diagnosis of other illnesses that do not have atopic foundation. The analysis included: clinical characteristics, parameters of both score systems and correlation of SCORAD and TIS indices. The conditions of research were met by 261 children (128 boys and 133 girls), with median age of 16.8 ± 5.4 months. The early occurrence of AD changes (before the second year of life) were present in 51.3% of children, the positive anamnesis for AD was found in 17.2% of children, changes in AD typical localization in 96.6% of children, oversensitivity to food in 47.5% and airborne allergens in 12.3% of children. The values of SCORAD index were ranging from 14-92 (median 37.1±18.06) and a significant correlation of the parameter to the total value of SCORAD index (distribution p=0.0002; intensity p=0.001; subjective symptoms p

Key words: atopic dermatitis – children – SCORAD index – TIS index






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