The prevalence of atopic triad in children with physician-confirmed atopic dermatitis

J Am Acad Dermatol. 2008 Jan;58(1):68-73. doi: 10.1016/j.jaad.2007.06.041. Epub 2007 Aug 9.

Abstract

Background: Atopic dermatitis (AD) is often associated with comorbidities such as allergic rhinitis and asthma.

Objective: We sought to describe the frequency of these comorbidities in children with AD.

Methods: We conducted a cross-sectional study of the first 2270 children with physician-confirmed AD enrolled in a large postmarketing cohort. All were queried for information on comorbidities using a questionnaire from the International Study of Asthma and Allergies in Childhood.

Results: In all, 71.3% reported at least one additional form of atopy (symptoms of asthma or allergic rhinitis). A total of 33.3% reported only symptoms of asthma or allergic rhinitis whereas 38.0% reported symptoms of asthma and allergic rhinitis. By age 3 years, nearly 66% reported at least one additional form of atopy. A statistically significant trend toward poorer disease control was observed for those with additional atopic illnesses (P < .001).

Limitations: This is a cross-sectional study.

Conclusion: Individuals with AD exhibit a predisposition to additional atopic illnesses by age 3 years and in turn the presence of these illnesses correlates with poor disease control.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Asthma / epidemiology*
  • Asthma / physiopathology
  • Child
  • Child, Preschool
  • Cohort Studies
  • Comorbidity
  • Cross-Sectional Studies
  • Dermatitis, Atopic / diagnosis
  • Dermatitis, Atopic / epidemiology*
  • Dermatitis, Atopic / physiopathology
  • Female
  • Humans
  • Hypersensitivity / complications*
  • Male
  • Physicians
  • Prevalence
  • Rhinitis / epidemiology*
  • Rhinitis / etiology*
  • Rhinitis / physiopathology