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Does the Mode of Delivery Impact Atopic Dermatitis Severity in Children? Publisher



Balighi K1 ; Roodbarani R1, 2 ; Kianfar N1 ; Dasdar S1 ; Fahim S1 ; Nejat A1, 3 ; Nasimi M1, 3
Authors
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Authors Affiliations
  1. 1. Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Dermatology Razi Hospital, Vahdate-Eslami Square 11996, Tehran, Iran

Source: European Journal of Pediatric Dermatology Published:2022


Abstract

Background. Atopic dermatitis (AD) is a chronic condition of early childhood. Factors attributable to the disease severity are contradictory. Objective. To evaluate the relationship between AD severity and other atopic diseases and between AD severity and mode of delivery. Methods. A total of 142 patients with AD who met the criteria of Hanifin and Rajka were included in this study. The SCORing Atopic Dermatitis (SCORAD) index was used to measure disease severity. Results. The mean age of AD onset was 19.29 ± 29.96 months and was significantly earlier in boys (12.97 ± 21.03, P value: 0.010). The prevalence of food allergy (FA), asthma, and allergic rhinitis (AR) were 42.3%, 9.9%, and 28.2%, respectively. The mean SCORAD score was 28.06 ± 15.61. The SCORAD index was significantly higher in boys (31.05 ± 18.08, P value: 0.013). Most patients (58.5%) had moderate disease severity. Type of delivery was not associated with the severity of AD. Conclusion. Boys were significantly more likely to have severe AD and developed the disease earlier than girls did. Type of delivery, history of FA, asthma, and AR were not associated with AD severity. Further longitudinal studies are required to obtain more accurate results. © 2022 Dermatologia Pediatrica. All rights reserved.