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Effect of Breastfeeding, Timing of Introduction of Complementary Foods, and other Confounders on the Development of Childhood Atopic Dermatitis
تاثي الرضاعه الطبيعيه وتاريخ ادخال الاطعمه المساعده لها على تطور داء الاتوبيا عند الاطفال

Authors: Najla’a Turki نجلاء تركي --- Ahmed Khairi Mishari احمد خيري مشاري --- Suhair Aboud Essa سهير عبود عيسى
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2017 Volume: 30 Issue: 1 Pages: 6-10
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Atopic dermatitis is a chronic skin disease. Its incidence around the world has increased dramatically over the past several decades. A multi-factorial etiology is postulated, with genetic, immunological and environmental factors all thought to be relevant to the pathogenesis. Objective: To assess the effect of breastfeeding, solid food introduction to the infant's diet, and other confounders on the development of atopic dermatitis.Methods: Two hundred and forty children between 2 to 6 years were enrolled in this case control study in Baghdad, comprised of 60 children with atopic dermatitis and 180 children free from atopic dermatitis of the same age, sex and ethnicity as a control. Data collection had been done by an interview using a questionnaire form designed by the investigators. Diagnosis of atopic dermatitis was made according to the Haninfin and Rajka’s diagnostic criteria.Results: This study showed a significant difference between case and control groups regarding the presence of family history of atopy among child's parents. The frequency of children with positive history of animal contact differs significantly between patients and control groups. No significant association was detected between atopic dermatitis and positive breastfeeding history. However, the relation between atopic dermatitis and breastfeeding is duration dependent, the percentage of infants with short exclusive breastfeeding was higher among control group (85.3%) as compared to (58.1%) in the case group. While, with prolong breastfeeding more than 6 months the reverse was found. Early supplement feeding increased the rate of atopic dermatitis, there was more infants with atopic dermatitis when solid food introduced at the age of 4 months, this was statistically significant (P=0.023). Conclusion: Exclusive breastfeeding for 6 months is effective in reducing atopic dermatitis. On the other hand, prolonging exclusive breastfeeding and postponing the introduction of solid foods for over 6 months is not helpful in prevention of atopic dermatitis


Article
The Most Common Dermatological Findings In Atopic Dermatitis
النتائج الجلدية الأكثر شيوعا في التهاب الجلد التأتبي

Author: Hasan Nasir AL-Musawi م.د.حسن ناصر الموسوي
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2017 Volume: 13 Issue: 1 Pages: 68-73
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Atopic dermatitis (AD) is a common, chronic, relapsing, itchy, skin condition occurring in patients with a personal or family history of atopy. It varies widely in clinical presentation at different ages and places.Objective: To determine the most common minor dermatological findings in patients with atopic dermatitis.Patients and Methods: This descriptive study was done at Al-Imamain Alkadimain Teaching Hospital, out patient clinic of dermatology from 2nd of January 2014 to the 1st of May 2014. The study involved 136 patients,73 of them were males and 63 were females; their ages ranged from 1 to 20 years. All patients were diagnosed clinically by a dermatologist according to Hanifin and Rajka major and minor criteria of AD. All the patients were subjected to a questionnaire including the identifying data and examined for the skin manifestations of the disease.Results: Atopic dermatitis affect males 73(53.7%) more than females 63(46.3%). Age of the patients ranging from 1 to 20 years with a mean of 7.80 ±5.23SD, mostly affecting the age group less than 10 years 70.6 %, family history of atopy was positive in 69.8%. The most common dermatological manifestation was xerosis affecting 88 patients (64.7%) followed by face pallor, or erythema in 64 patients (47%) and hand dermatitis in 63 patients (46.3%). Most common sites involved by dermatitis were face in 84 patients (61.7%) followed by hands in 63 patients (46.3%).Conclusion: Atopic dermatitis (AD) has a wide spectrum of dermatological manifestations. Xerosis is the most common minor skin findings of AD & icthyosis was the least common. Many conventional minor features were found, but some occurred less frequently.

خلفية الدراسة: التهاب الجلد التأتبي هومرض شائع، مزمن، يتصف بالانتكاس، حكة، يحدث في المرضى الذين يعانون من تاريخ شخصي أو عائلي من التأت وهو يختلف بشكل كبير في العرض السريري في مختلف الأعمار والأماكن.اهداف الدراسة: لتحديد النتائج الجلدية الصغيرة الأكثر شيوعا في المرضى الذين يعانون من التهاب الجلد التأتبي.المرضى والطرائق : أجريت هذه الدراسة الوصفية في مستشفى الامامين الكاظمين التعليمي، استشارية الأمراض الجلدية للفترة من 2 كانون الثاني 2014 إلى ايار 2014. اذ شملت الدراسة 136 مريضا, 73 كانوا من الذكور و63 من الإناث, تراوحت أعمارهم بين 1-20 سنة. تم تشخيص جميع المرضى سريريا من قبل طبيب امراض جلدية وفقا لمعايير هانيفين وراجكا الرئيسية و الثانوية, وقد اخضع جميع المرضى لاستبيان لتحديد البيانات وفحص مظاهر الجلد من المرض.النتائج: التهاب الجلد التأتبي يؤثر على الذكور 73 (53.7٪)بنسبة أكثر من الإناث 63 (46.3٪(., تراوحت اعمار المرضى بين 1- 20 سنة وبمعدل 7.80 سنة, أقل من 10 سنوات 70.6٪ كانت الفئة العمرية الأكثر تأثرا, وكان تاريخ العائلة من التأتبي إيجابيا في 69.8٪, أكثر مظاهر الأمراض الجلدية شيوعا كان جفاف الجلد الذي يؤثر على 88 مريضا (64.7٪) يليه شحوب الوجه أو حمامي في 64 مريضا (47٪) والتهاب الجلد اليدوي في 63 مريضا (46.3٪(.. معظم المواقع المشتركة التي تؤثر على التهاب الجلد كان الوجه 84 مريضا (61.7٪) تليها اليدين في 63 مريضا (46.3٪).الاستنتاجات: التهاب الجلد التأتبي لديه مجموعة واسعة من المظاهر الجلدية. جفاف الجلد هو الأكثر شيوعا وداء السمك كانت الأقل شيوعا. تم العثور على العديد من الميزات التقليدية ولكن وقعت أقل كثيرا.

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