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银屑病和特应性皮炎患儿的流行病学与共病情况

Epidemiology and Comorbidity in Children with Psoriasis and Atopic Eczema.

作者信息

Augustin Matthias, Radtke Marc A, Glaeske Gerd, Reich Kristian, Christophers Enno, Schaefer Ines, Jacobi Arnd

机构信息

Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf (UKE), Hamburg, Germany.

出版信息

Dermatology. 2015;231(1):35-40. doi: 10.1159/000381913. Epub 2015 May 8.

DOI:10.1159/000381913
PMID:25966818
Abstract

BACKGROUND

First studies have shown that juvenile psoriasis is associated with an increased prevalence of comorbidity.

OBJECTIVES

We carried out a data analysis to characterise the profiles of comorbidity in children with psoriasis and atopic eczema.

METHODS

Prevalence data were derived from the database of a German statutory health insurance company according to ICD-10 codes L40 (psoriasis) and L20 (atopic eczema) of children up to 18 years insured in 2009.

RESULTS

Data sets included 1.64 million persons and 293,181 children. 1,313 children = 0.45% (0.42-0.47) had a diagnosis of psoriasis and 30,354 = 10.35% (10.24-10.47) had a diagnosis of atopic eczema. Obesity, hyperlipidaemia, arterial hypertension and diabetes were more often diagnosed in children with psoriasis in comparison to all children without psoriasis and to those with atopic eczema.

CONCLUSION

Children with psoriasis and atopic eczema show different and specific patterns of comorbidity which should be detected early and treated adequately.

摘要

背景

初步研究表明,青少年银屑病与共病患病率增加有关。

目的

我们进行了一项数据分析,以描述银屑病和特应性皮炎患儿的共病特征。

方法

患病率数据来自一家德国法定健康保险公司的数据库,依据2009年参保的18岁以下儿童的ICD-10编码L40(银屑病)和L20(特应性皮炎)。

结果

数据集包括164万人和293181名儿童。1313名儿童(占0.45%,范围0.42 - 0.47%)被诊断为银屑病,30354名儿童(占10.35%,范围10.24 - 10.47%)被诊断为特应性皮炎。与所有无银屑病的儿童以及患有特应性皮炎的儿童相比,银屑病患儿更常被诊断出肥胖、高脂血症、动脉高血压和糖尿病。

结论

银屑病和特应性皮炎患儿表现出不同且特定的共病模式,应尽早发现并进行适当治疗。

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