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Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım

Year 2019, Volume: 11 Issue: 2, 79 - 85, 07.03.2019

Abstract

Öz

Çocukluk çağında sık karşılaşılan bir yakınma olan kaşıntı, hem hastanın hem ailenin yaşam kalitesini etkilemektedir. 6 haftadan uzun sürdüğünde ‘kronik kaşıntı’olarak adlandırılır. Çocuklarda çeşitli dermatozlar ve cilt hastalıklarının yanı sıra, enfeksiyöz ve paraziter ajanlar, immün yetmezlikler, konjenital hastalıklar, maligniteler, psikojenik faktörler ve sistemik hastalıklar da kaşıntıya yol açabilmektedir. Bu nedenle hastalardan ayrıntılı öykü alınmalı ve detaylı fizik muayene yapılmalıdır. Tetkikler düşünülen ön tanılara göre planlanmalıdır. Tedavi yaklaşımı ise hastanın tanısına ve yaşına göre belirlenir.

References

  • Kaynaklar 1.Weisshaar E, Dalgard F. Epidemiology of Itch: Adding to the Burdenof Skin Morbidity. Acta Derm Venereol 2009; 89: 339–350 2.Weisshaar E, Seeliger S, Diepgen T.L., Luger T.A, Ständer S. ÇocuklukDönemindeki Pruritus 3.Weisshaar E, Szepietowski JC, Darsow U, Misery L, Wallengren J,Mettang T, Gieler U, Lotti T, Lambert J, Maisel P, Streit M, GreavesMW, Carmichael AJ, Tschachler E, Ring J, Ständer S. European gui-deline on chronic pruritus. Acta Derm Venereol 2012; 92: 563–581 4.Bruske I, Standl M, Weidinger S, Klumper C, Hoffmann B, Schaaf B,et al. Epidemiology of urticaria in infants and young children in Ger-many--results from the German LISAplus and GINIplus Birth CohortStudies. Pediatr Allergy Immunol 2014;25:36-42. 5.Shin M, Lee S. Prevalence and Causes of Childhood Urticaria. Al-lergy Asthma Immunol Res. 2017 May;9(3):189-190. 6.Saçkesen C, Şekerel BE, Orhan F, Kocabaş CN, Tuncer A, AdalıoğluG. The Etiology of Different Forms of Urticaria in Childhood. Pediat-ric Dermatology Vol. 21 No. 2 102–108, 2004 7.Jirapongsananuruk O, Pongpreuksa S, Sangacharoenkit P, Visitsunt-horn N, Vichyanond P. Identification of the etiologies of chronic urti-caria in children: A prospective study of 94 patients. Pediatr AllergyImmunol 2010: 21: 508–514.. 8.Şahiner UM, Civelek E, Tuncer A, Yavuz ST, Karabulut E, Saçkesen C,Şekerel BE. Chronic Urticaria: Ethiology and Natural Course inChildren. Int Arch Allergy Immunol 2011;156:224–230 9.Kim J, Kim BE. Leung DYM. Pathophysiology of Atopic Dermatitis:Clinical Implications. Allergy Asthma Proc. 2019 Mar. 1;40(2):84-92 10.Van TC, Tat TN, Lan AT,et al. Superantigens of Staphylococcus AureusColonization in Atopic Dermatitis and Traetment Efficacy of Oral Ce-furoxime in Viatnamese Patients. Open Access Maced J Med Sci 2019Jan. 20;7(2):243-246 11.Bruscky DMV, et al. Cross-Cultural Adaptatıon And Valıdatıon OfThe Itchıng Severıty Scale In Chıldren And Adolescents Wıth AtopıcDermatıtıs. Rev Paul Pediatr. 2017;35(3):244-251 12.Roduit, C., Frei, R., Loss, G., Büchele, G., Weber, J., Depner, M., …Lauener, R. (2012). Development of atopic dermatitis according toage of onset and association with early-life exposures. Journal of Al-lergy and Clinical Immunology, 130(1), 130–136.e5. 13.Tada J. Diagnostic Standard for Atopic Dermatitis JMAJ 45(11):460–465, 2002 14.Kang, K., & Tian, R. (1987). Atopic Dermatitis. International Journalof Dermatology, 26(1), 27–32. 15.Takeuchi, S., Oba, J., Esaki, H., & Furue, M. (2015). Pruritus of pati-ents with atopic dermatitis in daily life and their experience of thera-peutic effects: results of a web-based questionnaire survey. British Jo-urnal of Dermatology, 173(1), 16.Atherthon DJ, Bieber T, et al. Severity scoring of atopic dermatitis: theSCORAD index. Consensus Report of the European Task Force onAtopic Dermatitis. Dermatology. 1993;186(1):23-31. 17.Bergmann MM, Caubet JC, Boguniewicz M, Eigenmann PA. Evaluation ofFood Allergy in Patients with Atopic Dermatitis. J Allergy Clin ImmunolPract.2013 Jan; 1(1):22-8. 18.Archer E, Chuang TY, Hong R. Severe Egzema in A Patient With Di-George’s Syndrome. Cutis. July 1990. 45(6):455-9 19.Bellou A, Kanny G, Fremont S, Moneret-Vautrin DA. Transfer ofAtopy Following Bone Marrow Transplantation. Annals of Allergy,Asthma&Immunology.1997.78(5).513-16 20.Rudikoff D. The Relationship Between HIV Infection and Atopic Der-matitis. Current Allergy and Asthma Reports 2002, 2:275–281 21.Saleem HMK, Shahid MF, Shahbaz A, Sohail A, Shahid MA, Sach-mechi I. Netherton Syndrome: A Case Report and Review of Literatu-re. Cureus 2018 Jul 30;10(7):e3070 22.Fölster-Holst, R. (2016). Itch Management in Childhood. CurrentProblems in Dermatology, 173–191. 23.Kato M, Kimura H, Seki M, Shimada A, et al. Omenn Syndrome-Revi-ew of Several Phenotypes of Omenn Syndome and RAG1/RAG2 Muta-tions in Japan. Allergol Int. 2006 Jun;55(2):115-9 24.Schwartz RA, Janusz CA, Janniger CK. Seborrheic Dermatitis: AnOverview. Am Fam Physician 2006;74:125-30 25.Foley P, Zou Y, et al. The Frequency of Common Skin Conditions in Presc-hool-aged Children in Australia Arch Dermatol. 2003;139:318-322 26.Mortz CG, Andersen KE. Allergic contact dermatitis in children andadolescents. Contact Dermatitis, 1999, 41, 121–130 27.Weston W L, Weston J A. Allergic contact dermatitis in children. Am JDis Child.1984:138:932–936. 28.Addepally NS, Klair JS, Girotra M et al. Systemic MastocytosisCau-sing Refractory Pruritus in a Liver Disease patient. ACG Case Rep J.2016 Nov 23;3(4):e152 29.Haşlak F, Özçeker D, Tamay Z. Süt Çocuğunda Ender Bir Döküntü Nede-ni: Kutanöz Mastositoz. Çocuk Dergisi 14(3):116-120, 2014 30.Osier E, Wang AS, Tollefson MM, et al. Pediatric Psoriasis ComorbidityScreening Guidelines. JAMA Dermatol. 2017 Jul 1;153(7):698-704 31.Chiam LY, de Jager ME, Giam YC, de Jong EM, van de Kerkhof PC,Seyger MM. Juvenile psoriasis in European and Asian children: simi-larities and differences. Br J Dermatol. 2011 May;164(5):1101-3. 32.Wu Y, Lin Y, Liu HJ, Huang CZ, Feng AP, Li JW. Childhood Psoriasis: A Studyof 137 Cases From Central China. World J Pediatr. 2010 Aug;6(3):260-4. 33.Kliegman RM, Stanton BF, Schor NF, Behrman RE. Nelson Textbookof Pediatrics 19th edition p1108 34.Şahin MT, Türel Ermertcan A, Kapulu N, Öztürkcan S. Son 5 Yılda Pit-riyazis Rozea Tanısı Alan Hastaların Retrospektif Değerlendirilmesi.ADÜ Tıp Fakültesi Dergisi 2002; 3(3) : 21 – 23 35.Zeidler, C., Yosipovitch, G., & Ständer, S. (2018). Prurigo Nodularis and ItsManagement. Dermatologic Clinics, 36(3), 189–197. 36.Kaya Erdoğan H, Bulur I, Karapınar T. Ürtikerya Pigmentozayı Taklid EdenSkabiyez İnkognito. Turkiye Klinikleri J Pediatr. 2018;27(1):31-437.Wojtowıcz-Prus E, Kılıś-Pstrusıńska K, Reıch A, et al. Chronic Kid-ney Disease-associated Pruritus in Children. Acta Derm Venereol2016; 96: 938–942 38.Thébaut A, Debray D, Gonzales E. An update on the physiopathology andtherapeutic management of cholestatic pruritus in children. Clinics and Re-search in Hepatology and Gastroenterology (2018) 42, 103—109. 39.Schneider JC, Nadler DL, Herndon DN, et al. Pruritus in PediatricBurn Survivors: Defining the Clinical Course. J Burn Care Res. 2015Jan-Feb;36(1):151-8

Logical Approach to a Child with Chronic Itch

Year 2019, Volume: 11 Issue: 2, 79 - 85, 07.03.2019

Abstract

Abstract

Itching, which is a frequent complaint in childhood, effects the quality of life ofboth the patient and their parents. It’s called ‘chronic itch’ if it lasts more than 6 weeks. Infectious and parasitic agents, immune defficiency syndromes, congenital diseases, malignancies, psychologic factors and systemic diseases as well as various dermatosis and skin diseases may cause itching in children. So a detailed history should be taken and a full physical examination should be carried out. Diagnostic testsare planed according to the presumptive diagnosis. The treatment aproach is determined by the age and the diagnosis of the patient. 

References

  • Kaynaklar 1.Weisshaar E, Dalgard F. Epidemiology of Itch: Adding to the Burdenof Skin Morbidity. Acta Derm Venereol 2009; 89: 339–350 2.Weisshaar E, Seeliger S, Diepgen T.L., Luger T.A, Ständer S. ÇocuklukDönemindeki Pruritus 3.Weisshaar E, Szepietowski JC, Darsow U, Misery L, Wallengren J,Mettang T, Gieler U, Lotti T, Lambert J, Maisel P, Streit M, GreavesMW, Carmichael AJ, Tschachler E, Ring J, Ständer S. European gui-deline on chronic pruritus. Acta Derm Venereol 2012; 92: 563–581 4.Bruske I, Standl M, Weidinger S, Klumper C, Hoffmann B, Schaaf B,et al. Epidemiology of urticaria in infants and young children in Ger-many--results from the German LISAplus and GINIplus Birth CohortStudies. Pediatr Allergy Immunol 2014;25:36-42. 5.Shin M, Lee S. Prevalence and Causes of Childhood Urticaria. Al-lergy Asthma Immunol Res. 2017 May;9(3):189-190. 6.Saçkesen C, Şekerel BE, Orhan F, Kocabaş CN, Tuncer A, AdalıoğluG. The Etiology of Different Forms of Urticaria in Childhood. Pediat-ric Dermatology Vol. 21 No. 2 102–108, 2004 7.Jirapongsananuruk O, Pongpreuksa S, Sangacharoenkit P, Visitsunt-horn N, Vichyanond P. Identification of the etiologies of chronic urti-caria in children: A prospective study of 94 patients. Pediatr AllergyImmunol 2010: 21: 508–514.. 8.Şahiner UM, Civelek E, Tuncer A, Yavuz ST, Karabulut E, Saçkesen C,Şekerel BE. Chronic Urticaria: Ethiology and Natural Course inChildren. Int Arch Allergy Immunol 2011;156:224–230 9.Kim J, Kim BE. Leung DYM. Pathophysiology of Atopic Dermatitis:Clinical Implications. Allergy Asthma Proc. 2019 Mar. 1;40(2):84-92 10.Van TC, Tat TN, Lan AT,et al. Superantigens of Staphylococcus AureusColonization in Atopic Dermatitis and Traetment Efficacy of Oral Ce-furoxime in Viatnamese Patients. Open Access Maced J Med Sci 2019Jan. 20;7(2):243-246 11.Bruscky DMV, et al. Cross-Cultural Adaptatıon And Valıdatıon OfThe Itchıng Severıty Scale In Chıldren And Adolescents Wıth AtopıcDermatıtıs. Rev Paul Pediatr. 2017;35(3):244-251 12.Roduit, C., Frei, R., Loss, G., Büchele, G., Weber, J., Depner, M., …Lauener, R. (2012). Development of atopic dermatitis according toage of onset and association with early-life exposures. Journal of Al-lergy and Clinical Immunology, 130(1), 130–136.e5. 13.Tada J. Diagnostic Standard for Atopic Dermatitis JMAJ 45(11):460–465, 2002 14.Kang, K., & Tian, R. (1987). Atopic Dermatitis. International Journalof Dermatology, 26(1), 27–32. 15.Takeuchi, S., Oba, J., Esaki, H., & Furue, M. (2015). Pruritus of pati-ents with atopic dermatitis in daily life and their experience of thera-peutic effects: results of a web-based questionnaire survey. British Jo-urnal of Dermatology, 173(1), 16.Atherthon DJ, Bieber T, et al. Severity scoring of atopic dermatitis: theSCORAD index. Consensus Report of the European Task Force onAtopic Dermatitis. Dermatology. 1993;186(1):23-31. 17.Bergmann MM, Caubet JC, Boguniewicz M, Eigenmann PA. Evaluation ofFood Allergy in Patients with Atopic Dermatitis. J Allergy Clin ImmunolPract.2013 Jan; 1(1):22-8. 18.Archer E, Chuang TY, Hong R. Severe Egzema in A Patient With Di-George’s Syndrome. Cutis. July 1990. 45(6):455-9 19.Bellou A, Kanny G, Fremont S, Moneret-Vautrin DA. Transfer ofAtopy Following Bone Marrow Transplantation. Annals of Allergy,Asthma&Immunology.1997.78(5).513-16 20.Rudikoff D. The Relationship Between HIV Infection and Atopic Der-matitis. Current Allergy and Asthma Reports 2002, 2:275–281 21.Saleem HMK, Shahid MF, Shahbaz A, Sohail A, Shahid MA, Sach-mechi I. Netherton Syndrome: A Case Report and Review of Literatu-re. Cureus 2018 Jul 30;10(7):e3070 22.Fölster-Holst, R. (2016). Itch Management in Childhood. CurrentProblems in Dermatology, 173–191. 23.Kato M, Kimura H, Seki M, Shimada A, et al. Omenn Syndrome-Revi-ew of Several Phenotypes of Omenn Syndome and RAG1/RAG2 Muta-tions in Japan. Allergol Int. 2006 Jun;55(2):115-9 24.Schwartz RA, Janusz CA, Janniger CK. Seborrheic Dermatitis: AnOverview. Am Fam Physician 2006;74:125-30 25.Foley P, Zou Y, et al. The Frequency of Common Skin Conditions in Presc-hool-aged Children in Australia Arch Dermatol. 2003;139:318-322 26.Mortz CG, Andersen KE. Allergic contact dermatitis in children andadolescents. Contact Dermatitis, 1999, 41, 121–130 27.Weston W L, Weston J A. Allergic contact dermatitis in children. Am JDis Child.1984:138:932–936. 28.Addepally NS, Klair JS, Girotra M et al. Systemic MastocytosisCau-sing Refractory Pruritus in a Liver Disease patient. ACG Case Rep J.2016 Nov 23;3(4):e152 29.Haşlak F, Özçeker D, Tamay Z. Süt Çocuğunda Ender Bir Döküntü Nede-ni: Kutanöz Mastositoz. Çocuk Dergisi 14(3):116-120, 2014 30.Osier E, Wang AS, Tollefson MM, et al. Pediatric Psoriasis ComorbidityScreening Guidelines. JAMA Dermatol. 2017 Jul 1;153(7):698-704 31.Chiam LY, de Jager ME, Giam YC, de Jong EM, van de Kerkhof PC,Seyger MM. Juvenile psoriasis in European and Asian children: simi-larities and differences. Br J Dermatol. 2011 May;164(5):1101-3. 32.Wu Y, Lin Y, Liu HJ, Huang CZ, Feng AP, Li JW. Childhood Psoriasis: A Studyof 137 Cases From Central China. World J Pediatr. 2010 Aug;6(3):260-4. 33.Kliegman RM, Stanton BF, Schor NF, Behrman RE. Nelson Textbookof Pediatrics 19th edition p1108 34.Şahin MT, Türel Ermertcan A, Kapulu N, Öztürkcan S. Son 5 Yılda Pit-riyazis Rozea Tanısı Alan Hastaların Retrospektif Değerlendirilmesi.ADÜ Tıp Fakültesi Dergisi 2002; 3(3) : 21 – 23 35.Zeidler, C., Yosipovitch, G., & Ständer, S. (2018). Prurigo Nodularis and ItsManagement. Dermatologic Clinics, 36(3), 189–197. 36.Kaya Erdoğan H, Bulur I, Karapınar T. Ürtikerya Pigmentozayı Taklid EdenSkabiyez İnkognito. Turkiye Klinikleri J Pediatr. 2018;27(1):31-437.Wojtowıcz-Prus E, Kılıś-Pstrusıńska K, Reıch A, et al. Chronic Kid-ney Disease-associated Pruritus in Children. Acta Derm Venereol2016; 96: 938–942 38.Thébaut A, Debray D, Gonzales E. An update on the physiopathology andtherapeutic management of cholestatic pruritus in children. Clinics and Re-search in Hepatology and Gastroenterology (2018) 42, 103—109. 39.Schneider JC, Nadler DL, Herndon DN, et al. Pruritus in PediatricBurn Survivors: Defining the Clinical Course. J Burn Care Res. 2015Jan-Feb;36(1):151-8
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Primary Language Turkish
Journal Section makale
Authors

Uzm. Dr. Mebrure Yazıcı This is me

Publication Date March 7, 2019
Published in Issue Year 2019 Volume: 11 Issue: 2

Cite

APA Yazıcı, U. D. M. (2019). Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım. Klinik Tıp Pediatri Dergisi, 11(2), 79-85.
AMA Yazıcı UDM. Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım. Pediatri. March 2019;11(2):79-85.
Chicago Yazıcı, Uzm. Dr. Mebrure. “Yaygın Kaşıntı Ile Başvuran Çocuk Hastaya Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi 11, no. 2 (March 2019): 79-85.
EndNote Yazıcı UDM (March 1, 2019) Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım. Klinik Tıp Pediatri Dergisi 11 2 79–85.
IEEE U. D. M. Yazıcı, “Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım”, Pediatri, vol. 11, no. 2, pp. 79–85, 2019.
ISNAD Yazıcı, Uzm. Dr. Mebrure. “Yaygın Kaşıntı Ile Başvuran Çocuk Hastaya Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi 11/2 (March 2019), 79-85.
JAMA Yazıcı UDM. Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım. Pediatri. 2019;11:79–85.
MLA Yazıcı, Uzm. Dr. Mebrure. “Yaygın Kaşıntı Ile Başvuran Çocuk Hastaya Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi, vol. 11, no. 2, 2019, pp. 79-85.
Vancouver Yazıcı UDM. Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım. Pediatri. 2019;11(2):79-85.