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Volume 10 Issue 1 (January- June) 2021

Original Articles

A Prospective Analysis of Early Eczema and the Risk of Childhood Asthma at a Tertiary Care Hospital
E. ShivanandaMurgod, Narayan Murthy D, Pendyala Pradeep, Raj Kirit E P

Background:Childhood eczema carries a heavy burden for the affected child and the family. It is a disease with a high and variable prevalence, and there is evidence that the prevalence has increased in recent decades. Hence; the present study was conducted for assessing early eczema and the risk of childhood asthma.Materials &Methods:A total of 100 parents of children at age 2 (baseline) were given questionnaires concerning environmental exposures and the family history of different allergy-related diseases in the parents and siblings were enrolled. A detailed questionnaire concerning the child’s health, with an emphasis on allergy-related diseases, was also administered. The standard prick test (SPT) and specific IgE (sIgE) readings were used to assess sensitization, and the Scoring of Atopic Dermatitis (SCORAD) index was used to quantify the severity of the disease. Positive sensitization was indicated by a child's positive sIgE or positive SPT. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis using SPSS software. Univariate analysis was done for evaluation of level of significance.Results:One hundred people in all were examined. The estimate of the substantial correlation between present asthma at 6 years and eczema at 2 years was found. About 40% of children who had eczema at age 6 had it start after age 2. However, those who had it start before age 2 were more likely to have several allergy-related conditions coexisting with their eczema at age 6.Conclusion:The results of this study lend credence to the theory of an atopic march in the general population, even if the majority of eczema cases seen in primary care are mild to moderate.

 
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