Abstract
Giriş ve Amaç: Ürtiker çocukluk çağında sık görülmektedir. Hastaların çoğunda nedeni bulunamamaktadır. Çalışmanın amacı çocuk allerji polikliniğinde ürtiker tanısı ile izlenen hastaların klinik özelliklerin belirlenmesidir.Gereç ve Yöntemler: 1 Eylül 2008-31 Ağustos 2009 tarihleri arasında allerji polikliniğinde ürtiker tanısı alan hastaların kayıtları değerlendirildi.Bulgular: Yüz elli dokuzu (%61.2) erkek, toplam 258 hasta değerlendirildi. Hastaların yaşları 6 ay ile 17 yıl (ortalama 6,43 ± 3,97, ortanca 6 yıl) arasında değişmekteydi. Hastaların 173’ü (%67) akut ürtiker, 49’u (%19) tekrarlayan ürtiker ve 36’sı (%14) kronik ürtiker tanısı almıştı. Fiziksel ürtiker 5 hastada (iki kolinerjik, üç soğuk ürtiker) vardı. 31 (%12) hastada anjioödem eşlik ediyordu. Vaskülit özellik gösteren döküntüleri olan beş hastaya cilt biyopsisi yapılmış ve üçünde vaskülitik değişiklikler saptanmıştı. Enfeksiyonlar en sık görülen etiyolojik faktör olup hastaların 122’sinde (%47) saptandı. 10 (%3.9) hastada besin allerjisi ve 6 (%2.3) hastada ilaç allerjisi vardı. Kronik ürtikerli iki hastanın tiroid antikorları pozitif olup tiroid hormon düzeyleri normaldi.Sonuç: Çocuklarda en sık görülen ürtiker tipi akut olup enfeksiyonlar ilk sırada yer alan etiyolojik faktördür.
Keywords
References
- Kaplan AP. Urticaria and angio-oedema. In: Middleton E, Reed CE, Ellis EF, Adkinson NF, Yunginger JW, Busse WW, editors. Allergy: Principles and Practice Seventh ed. St. Louis:Mosby, 2008; 1063-81.
- Powell RJ, Du Toit GL, Siddique N, Leech SC, Dixon TA, Clark AT, et al. BSACI guidelines for the management of chronic urticaria and angio-oedema. Clin Exp Allergy 2007;37:631-50.
Abstract
Objective: Urticaria is a common condition in children. The causative agent for urticaria cannot be found in the majority of cases. In this study we aimed to investigate the clinical characteristics of the patients diagnosed as urticaria in our outpatient allergy clinic.Material and Methods: We reviewed the medical records of children with a diagnosis code of urticaria who were followed up in our allergy outpatient clinic between September 1st 2008 and August, 31st 2009.results: Two hundred fifty-eight patients were enrolled, of whom 159 (61.2%) were male. The patients ranged from 6 months to 17 years old (mean 6.43 ± 3.97, median 6 years)with 173 (67%) diagnosed as acute urticaria, 49 (19%) as episodic urticaria and 36 (14%) as chronic urticaria. Physical urticaria was seen in five cases (two as cholinergic, three as cold urticaria). Angioedema accompanied the urticaria in 31 (12%) cases. Skin biopsies were performed for five patients with characteristics of vasculitic urticaria and biopsy findings of three patients were consistent with vasculitic changes. Infections were the most common etiologic factors and were seen in 122 patients (47%). Ten (3.9%) of the patients had food allergy and 6 (2.3%) had drug allergy. Two patients with chronic urticaria had thyroid autoantibody positivity although they were confirmed as being euthyroid according to blood thyroid hormone levels.conclusion: Our results show that the most common type of urticaria is the acute type and the most common etiological factor is infection in children
References
- Kaplan AP. Urticaria and angio-oedema. In: Middleton E, Reed CE, Ellis EF, Adkinson NF, Yunginger JW, Busse WW, editors. Allergy: Principles and Practice Seventh ed. St. Louis:Mosby, 2008; 1063-81.
- Powell RJ, Du Toit GL, Siddique N, Leech SC, Dixon TA, Clark AT, et al. BSACI guidelines for the management of chronic urticaria and angio-oedema. Clin Exp Allergy 2007;37:631-50.
Details
| Other ID | JA88HD76NT |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | April 1, 2013 |
| Submission Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 7 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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