Yıl 2025,
Cilt: 25 Sayı: 3, 120 - 124, 31.10.2025
Mehtap Kaya
,
Fatih Çiçek
Kaynakça
-
Neveus T, Fonseca E, Franco I, Kawauchi A, Kovacevic L, Nieuwhof-Leppink A., et al. Management and treatment of nocturnal enuresis-an updated standardization document from the International Children's Continence Society. J Pediatr Urol. 2020 ;16:10-9. doi: 10.1016/j.jpurol.2019.12.020. google scholar
-
Jarvelin MR, Vikevainen-Tervonen L, Moilanen I, Huttunen NP. Enuresis in seven-year-old children. Acta Paediatr Scand. 1988;77:148-53. doi: 10.1111/ j.1651-2227.1988.tb10614.x. google scholar
-
Forsythe WI, Redmond A. Enuresis and spontaneous cure rate. Study of 1129 enuretis. Arch Dis Child. 1974;49:259-63. doi: 10.1136/adc.49.4.259. google scholar
-
Gomez Rincon, M., Leslie, S. W., & Lotfollahzadeh, S. (2023). Nocturnal Enuresis. In StatPearls. StatPearls Publishing. https://doi.org/10.1016/j.jpurol.2019.12.020 google scholar
-
Neveus T, Fonseca E, Franco I, Kawauchi A, Kovacevic L, Nieuwhof-Leppink A, et al. Risk factors for atopic diseases and recurrent respiratory tract infections in children. Pediatr Pulmonol. 2020;55:3168-79. doi: 10.1002/ppul.25042. google scholar
-
Hallit S, Raherison C, Malaeb D, Hallit R, Kheir N, Salameh P. The AAA Risk Factors Scale: A New Model to Screen for the Risk of Asthma, Allergic Rhinitis and Atopic Dermatitis in Children. Med Princ Pract. 2018;27:472-80. doi: 10.1159/000490704. google scholar
-
Tsai JD, Chen HJ, Ku MS, Chen SM, Hsu CC, Tung MC, et al. Association between allergic disease, sleep-disordered breathing, and childhood nocturnal enuresis: a population-based case-control study. Pediatr Nephrol. 2017;32:2293-301. doi: 10.1007/s00467-017-3750-0. google scholar
-
Lai PH, Yang PS, Lai WY, Lin CL, Hsu CY, Wei CC. Allergic rhinitis and the associated risk of nocturnal enuresis in children: a population-based cohort study. Int Forum Allergy Rhinol. 2018;8:1260-66. doi: 10.1002/alr.22219. google scholar
-
Yılmaz-Durmuş S, Alaygut D, Soylu A, Alparslan C, Köse SŞ, Anal Ö. The association between monosymptomatic enuresis and allergic diseases in children. Turk J Pediatr. 2018;60:415-20. doi: 10.24953/turkjped.2018.04.009. google scholar
-
Dahan P, de Bessa J Jr, de Oliveira DM, Gomes CC, Cardoso JC, Macedo IT, et al. Association between Asthma and Primary Nocturnal Enuresis in Children. J Urol. 2016;195:1221-26. doi: 10.1016/j.juro.2015.10.081. google scholar
-
Azhir A, Nasseri F, Fazel A, Adibi A, Frajzadegan Z, Divband AH. Etiology and pathology of enuresis among primary school children in Isfahan, Iran. Saudi Med J. 2007;28:1706-10. PMID: 17965794. google scholar
-
Tsuge M, Ikeda M, Matsumoto N, Yorifuji T, Tsukahara H. Current Insights into Atopic March. Children (Basel). 2021;8:1067. doi: 10.3390/children8111067. google scholar
-
Ozkaya E, Aydın SC, Yazıcı M, Dundaröz R. Enuresis Nocturna in children with asthma: prevalence and associated risk factors. Ital J Pediatr. 2016;42:59. doi: 10.1186/s13052-016-0266-3. google scholar
-
Zaleski A, Shokeir MK, Gerrard JW. Enuresis: familial incidence and relationship to allergic disorders. Can Med Assoc J. 1972;106:30-1. PMID: 5009034; PMCID: PMC1931351. google scholar
-
Yamada T, Murayama T, Mita H, Akiyama K. Bladder hypersensitivity of interstitial cystitis complicated by allergic diseases. Urology. 2001;57:125. doi: 10.1016/s0090-4295(01)01091-3. google scholar
-
Bray GW. Enuresis of Allergic Origin. Arch Dis Child. 1931;6:251-53. doi: 10.1136/ adc.6.34.251. google scholar
-
Ryu DS, Lee HW, Kwak KW, Park KH, Baek M. Role of Urodynamic Study in Nocturnal Enuresis: Urodynamic Findings and Treatment Outcome Correlation in Children with Pharmacotherapy-resistant Monosymptomatic Nocturnal Enuresis or Severe Non-monosymptomatic Nocturnal Enuresis. Low Urin Tract Symptoms. 2014;6:88-93. doi: 10.1111/luts.12024. google scholar
-
Yeung CK, Sit FK, To LK, Chiu HN, Sihoe JD, Lee E, Wong C. Reduction in nocturnal functional bladder capacity is a common factor in the pathogenesis of refractory nocturnal enuresis. BJU Int. 2002;90:302-7. doi: 10.1046/j.1464-410x.2002.02884.x. google scholar
-
Chimenz R, Manti S, Fede C, Stroscio G, Visalli C, Nicotera A, et al. Primary nocturnal enuresis in children wıth allergic rhinitis and severe adenotonsillar hypertrophy: A single center pilot study. J Biol Regul Homeost Agents. 2015;29:73-9. PMID: 26634591. google scholar
-
Bohadana AB, Hannhart B, Teculescu DB. Nocturnal worsening of asthma and sleep-disordered breathing. J Asthma. 2002;39:85-100. doi: 10.1081/ jas-120002190. google scholar
-
de Jesus LE, Tome A, Cobe D, Camelier P. Psychosocial and respiratory disease related to severe bladder dysfunction and non-monosymptomatic enuresis. J Pediatr Urol. 2016;12:126. doi: 10.1016/j.jpurol.2015.11.012. google scholar
-
Marcus CL, Lutz J, Carroll JL, Bamford O. Arousal and ventilatory responses during sleep in children with obstructive sleep apnea. J Appl Physiol (1985). 1998;84:1926-36. doi: 10.1152/jappl.1998.84.6.1926. google scholar
-
Sans Capdevila O, Crabtree VM, Kheirandish-Gozal L, Gozal D. Increased morning brain natriuretic peptide levels in children with nocturnal enuresis and sleep-disordered breathing: a community-based study. Pediatrics. 2008;121:1208-14. doi: 10.1542/peds.2007-2049. google scholar
-
Brooks LJ, Topol HI. Enuresis in children with sleep apnea. J Pediatr. 2003;142:515-18. doi: 10.1067/mpd.2003.158. google scholar
-
Cher TW, Lin GJ, Hsu KH. Prevalence of nocturnal enuresis and associated familial factors in primary school children in Taiwan J Urol. 2002;168:1142-46. doi: 10.1016/S0022-5347(05)64612-5. google scholar
The Association Between Primary Nocturnal Enuresis and Allergic Disease in Children: A Single Center Experience
Yıl 2025,
Cilt: 25 Sayı: 3, 120 - 124, 31.10.2025
Mehtap Kaya
,
Fatih Çiçek
Öz
Objective: Enuresis nocturna (EN) and allergic diseases are common disorders in childhood. Both are associated with detrimental psychosocial impacts and higher morbidity rates. The potential relationship between these two diseases has been the subject of the studies, revealing a significant association between them. We aimed to study the association between EN and asthma, allergic rhinitis (AR), and atopic dermatitis (AD) in children.
Materials and Methods: The study was conducted with 383 patients as 186 cases with monosymptomatic nocturnal enuresis (MSE) and age-matched 197 controls. The International Study of Asthma and Allergy in Childhood (ISAAC) questionnaire was administered to the parents of children aged six years or older diagnosed with MSE and the parents of individuals in the control group. Patients were evaluated using complete blood count, serum total immunoglobulin (Ig)E and serum specific IgE levels, and skin prick tests.
Results: Allergic diseases were detected in 36 patients (19.4%) in the study group and 18 patients (9.2%) in the control group. This was a statistically significant difference with a p value of 0.005. Eosinophil counts did not have a significant difference between the study and control groups. Total IgE levels were significantly elevated in the study group (p: 0.03). Desmopressin treatment was more revelant in the study group (p: 0.05).
Conclusion: We found a significant association between MSE and childhood allergic diseases. High total IgE levels were associated with the MSE in children, and allergic-enüretic children need desmopressin treatment more than non-allergic enüretic children. The treatment of allergic diseases may also lead to the resolution of MSE without additional treatment.
Kaynakça
-
Neveus T, Fonseca E, Franco I, Kawauchi A, Kovacevic L, Nieuwhof-Leppink A., et al. Management and treatment of nocturnal enuresis-an updated standardization document from the International Children's Continence Society. J Pediatr Urol. 2020 ;16:10-9. doi: 10.1016/j.jpurol.2019.12.020. google scholar
-
Jarvelin MR, Vikevainen-Tervonen L, Moilanen I, Huttunen NP. Enuresis in seven-year-old children. Acta Paediatr Scand. 1988;77:148-53. doi: 10.1111/ j.1651-2227.1988.tb10614.x. google scholar
-
Forsythe WI, Redmond A. Enuresis and spontaneous cure rate. Study of 1129 enuretis. Arch Dis Child. 1974;49:259-63. doi: 10.1136/adc.49.4.259. google scholar
-
Gomez Rincon, M., Leslie, S. W., & Lotfollahzadeh, S. (2023). Nocturnal Enuresis. In StatPearls. StatPearls Publishing. https://doi.org/10.1016/j.jpurol.2019.12.020 google scholar
-
Neveus T, Fonseca E, Franco I, Kawauchi A, Kovacevic L, Nieuwhof-Leppink A, et al. Risk factors for atopic diseases and recurrent respiratory tract infections in children. Pediatr Pulmonol. 2020;55:3168-79. doi: 10.1002/ppul.25042. google scholar
-
Hallit S, Raherison C, Malaeb D, Hallit R, Kheir N, Salameh P. The AAA Risk Factors Scale: A New Model to Screen for the Risk of Asthma, Allergic Rhinitis and Atopic Dermatitis in Children. Med Princ Pract. 2018;27:472-80. doi: 10.1159/000490704. google scholar
-
Tsai JD, Chen HJ, Ku MS, Chen SM, Hsu CC, Tung MC, et al. Association between allergic disease, sleep-disordered breathing, and childhood nocturnal enuresis: a population-based case-control study. Pediatr Nephrol. 2017;32:2293-301. doi: 10.1007/s00467-017-3750-0. google scholar
-
Lai PH, Yang PS, Lai WY, Lin CL, Hsu CY, Wei CC. Allergic rhinitis and the associated risk of nocturnal enuresis in children: a population-based cohort study. Int Forum Allergy Rhinol. 2018;8:1260-66. doi: 10.1002/alr.22219. google scholar
-
Yılmaz-Durmuş S, Alaygut D, Soylu A, Alparslan C, Köse SŞ, Anal Ö. The association between monosymptomatic enuresis and allergic diseases in children. Turk J Pediatr. 2018;60:415-20. doi: 10.24953/turkjped.2018.04.009. google scholar
-
Dahan P, de Bessa J Jr, de Oliveira DM, Gomes CC, Cardoso JC, Macedo IT, et al. Association between Asthma and Primary Nocturnal Enuresis in Children. J Urol. 2016;195:1221-26. doi: 10.1016/j.juro.2015.10.081. google scholar
-
Azhir A, Nasseri F, Fazel A, Adibi A, Frajzadegan Z, Divband AH. Etiology and pathology of enuresis among primary school children in Isfahan, Iran. Saudi Med J. 2007;28:1706-10. PMID: 17965794. google scholar
-
Tsuge M, Ikeda M, Matsumoto N, Yorifuji T, Tsukahara H. Current Insights into Atopic March. Children (Basel). 2021;8:1067. doi: 10.3390/children8111067. google scholar
-
Ozkaya E, Aydın SC, Yazıcı M, Dundaröz R. Enuresis Nocturna in children with asthma: prevalence and associated risk factors. Ital J Pediatr. 2016;42:59. doi: 10.1186/s13052-016-0266-3. google scholar
-
Zaleski A, Shokeir MK, Gerrard JW. Enuresis: familial incidence and relationship to allergic disorders. Can Med Assoc J. 1972;106:30-1. PMID: 5009034; PMCID: PMC1931351. google scholar
-
Yamada T, Murayama T, Mita H, Akiyama K. Bladder hypersensitivity of interstitial cystitis complicated by allergic diseases. Urology. 2001;57:125. doi: 10.1016/s0090-4295(01)01091-3. google scholar
-
Bray GW. Enuresis of Allergic Origin. Arch Dis Child. 1931;6:251-53. doi: 10.1136/ adc.6.34.251. google scholar
-
Ryu DS, Lee HW, Kwak KW, Park KH, Baek M. Role of Urodynamic Study in Nocturnal Enuresis: Urodynamic Findings and Treatment Outcome Correlation in Children with Pharmacotherapy-resistant Monosymptomatic Nocturnal Enuresis or Severe Non-monosymptomatic Nocturnal Enuresis. Low Urin Tract Symptoms. 2014;6:88-93. doi: 10.1111/luts.12024. google scholar
-
Yeung CK, Sit FK, To LK, Chiu HN, Sihoe JD, Lee E, Wong C. Reduction in nocturnal functional bladder capacity is a common factor in the pathogenesis of refractory nocturnal enuresis. BJU Int. 2002;90:302-7. doi: 10.1046/j.1464-410x.2002.02884.x. google scholar
-
Chimenz R, Manti S, Fede C, Stroscio G, Visalli C, Nicotera A, et al. Primary nocturnal enuresis in children wıth allergic rhinitis and severe adenotonsillar hypertrophy: A single center pilot study. J Biol Regul Homeost Agents. 2015;29:73-9. PMID: 26634591. google scholar
-
Bohadana AB, Hannhart B, Teculescu DB. Nocturnal worsening of asthma and sleep-disordered breathing. J Asthma. 2002;39:85-100. doi: 10.1081/ jas-120002190. google scholar
-
de Jesus LE, Tome A, Cobe D, Camelier P. Psychosocial and respiratory disease related to severe bladder dysfunction and non-monosymptomatic enuresis. J Pediatr Urol. 2016;12:126. doi: 10.1016/j.jpurol.2015.11.012. google scholar
-
Marcus CL, Lutz J, Carroll JL, Bamford O. Arousal and ventilatory responses during sleep in children with obstructive sleep apnea. J Appl Physiol (1985). 1998;84:1926-36. doi: 10.1152/jappl.1998.84.6.1926. google scholar
-
Sans Capdevila O, Crabtree VM, Kheirandish-Gozal L, Gozal D. Increased morning brain natriuretic peptide levels in children with nocturnal enuresis and sleep-disordered breathing: a community-based study. Pediatrics. 2008;121:1208-14. doi: 10.1542/peds.2007-2049. google scholar
-
Brooks LJ, Topol HI. Enuresis in children with sleep apnea. J Pediatr. 2003;142:515-18. doi: 10.1067/mpd.2003.158. google scholar
-
Cher TW, Lin GJ, Hsu KH. Prevalence of nocturnal enuresis and associated familial factors in primary school children in Taiwan J Urol. 2002;168:1142-46. doi: 10.1016/S0022-5347(05)64612-5. google scholar