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过敏——特应性皮炎患者通过问卷调查表达自身情况。

Allergy - Patients with Atopic Dermatitis Express Themselves Through a Questionnaire.

作者信息

Shourick Jason, Taïeb Charles, Seite Sophie

机构信息

Département Epidémiologie, Hôpital de Toulouse, Toulouse, France.

Patients Priority Department, European Market Maintenance Assessment, Fontenay Sous-bois, France.

出版信息

Clin Cosmet Investig Dermatol. 2021 Jan 5;13:1075-1077. doi: 10.2147/CCID.S285943. eCollection 2020.

Abstract

INTRODUCTION

Allergies are becoming more prevalent across the globe and can be linked to several skin diseases, particularly atopic dermatitis (AD). Disruption of the immune system in the skin can lead to inflammatory diseases such as atopic and contact dermatitis, skin infections, and allergies. This is especially evident in processes such as "atopic march", where in childhood, the development of atopic dermatitis can later lead to food allergies, allergic rhinitis and asthma.

OBJECTIVE

The aim of this international online survey is to study the link between self-reported doctor-diagnosed AD and allergy prevalence.

METHODOLOGY

Our survey queried a representative sample of the general population over the age of 18 from five countries (Brazil, China, Russia, the USA and France).

RESULTS

A total of 9399 participants answered the entire online questionnaire. Among them, 2483 (26.4%) had an allergy diagnosed by a doctor (1243 with food allergies (13.2%), 1564 with respiratory allergies (16.6%) and 1669 with skin allergies (17.7%)). There were 794 (31.9%) participants with current AD in the allergy group and 640 (9.25%) in the group without allergies (p<0.001), and there were 1299 (52.3%) participants with CAD in the allergy group versus 1368 (19.8%) in the group without allergies (p<0.001). Multivariate analysis showed ORs of 3.24 [2.98, 3.63] (p<0.001) for current AD and 2.4 [2.09, 2.74] (p<0.001) for CAD. There was no significant interaction between AD and CAD (p=0.6).

CONCLUSION

A total of 26.4% of survey respondents reported having doctor-diagnosed allergies. Among these patients, half reported having AD during childhood, and 1/3 reported having a current AD. CAD and AD patients clearly have a higher risk of having an allergy than patients without CAD or AD.

摘要

引言

过敏在全球范围内正变得越来越普遍,并且与多种皮肤病相关,尤其是特应性皮炎(AD)。皮肤免疫系统的紊乱可导致炎症性疾病,如特应性和接触性皮炎、皮肤感染及过敏。这在“特应性进程”等过程中尤为明显,在儿童期,特应性皮炎的发展随后可导致食物过敏、过敏性鼻炎和哮喘。

目的

这项国际在线调查的目的是研究自我报告的医生诊断的AD与过敏患病率之间的联系。

方法

我们的调查询问了来自五个国家(巴西、中国、俄罗斯、美国和法国)18岁以上普通人群的代表性样本。

结果

共有9399名参与者回答了整个在线问卷。其中,2483人(26.4%)被医生诊断为过敏(1243人有食物过敏(13.2%),1564人有呼吸道过敏(16.6%),1669人有皮肤过敏(17.7%))。过敏组中有794名(31.9%)参与者患有现发性AD,非过敏组中有640名(9.25%)(p<0.001),过敏组中有1299名(52.3%)参与者患有慢性AD,非过敏组中有1368名(19.8%)(p<0.001)。多变量分析显示,现发性AD的比值比为3.24[2.98, 3.63](p<0.001),慢性AD的比值比为2.4[2.09, 2.74](p<0.001)。AD和慢性AD之间没有显著的相互作用(p=0.6)。

结论

共有26.4%的调查受访者报告有医生诊断的过敏。在这些患者中,一半报告在儿童期患有AD,三分之一报告患有现发性AD。慢性AD和AD患者明显比没有慢性AD或AD的患者有更高的过敏风险。

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