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Aim: To define the general features and the the risk factors of the children with bronchial asthma Material and methods: The records of 486 patients who were followed up in our Pediatric Immunology and Allergy Department with the diagnosis of bronchial asthma from September 2001 to March 2003 were investigated retrospectively nbsp;Results: Patients were divided into two groups according to their age; group I patients under 5 years old age 63 and group II patients older than 5 years old age 37 The frequency of atopy was 45 and 57 in groups retrospectively Eighty percent of the patients were living in the urban areas The most common symptom was cough and symptoms were begun within the first five years in 76 of the patients Forty percent of the patients had a family history of atopy Smoking of parents and the ratio of having domestic animals were noted in 49 and 8 of the cases respectively No significant difference was noted in terms of atopy in patients living in urban or rural area However a significant difference was noted in patients under the 5 years old age Pollen allergy was common in the second group but no significant difference was noted in other allergens The frequency of atopy in patients was 51 and 24 at least to one allergen and more than one allergen retrospectively The most common allergen was house dust mite 51 and pollens 50 retrospectively Asthma was associated with allergic rhinitis in 33 atopic dermatitis in 17 gastroeosophegial reflux in 8 and adenoid hypertrophy in 7 of the cases Forty eight percentages of the cases had increased IgE levels and 24 of the cases had eosonophilia in periferic smears Ten percentages of the atopic cases had adenoid hypertrophy and it was twice the non atopic patients nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; Conclusion: In this study we conclude that living in the urban area is an important risk factor for the development of atopy in our area Pollen hypersensitivity is increasing with the age Adenoid hypertrophy is important for the allergen sensitivity nbsp; Key words: asthma‚ childhood atopy‚ demographic features

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Ayın olgusu

Öz

OlguDört yaşında erkek hasta yaklaşık iki haftadır devam eden üşüme halsizlik iştahsızlık el ve ayak tırnaklarında solukluk şikayeti ile kliniğimize getirilmişti Yüksek ateş döküntü kanama tarif etmeyen hastanın yakın geçmişinde seyahat öyküsü yoktu Özgeçmişinden iki yaşında iken pes ekinovarus nedeniyle opere olduğu ve bir ay önce ilaç zehirlenmesi sebebiyle hastaneye yatırıldığı öğrenildi Soy geçmişinde özellik saptanmadı

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