ĐẶC ĐIỂM VIÊM DA CƠ ĐỊA TRONG BỆNH HEN PHẾ QUẢN Ở TRẺ 2-5 TUỔI TẠI BỆNH VIỆN NHI ĐỒNG 1

Abstract

Background: Asthma is a common lung disease that affects health and quality of life. Among the possible causes of asthma, atopic dermatitis is a prerequisite for the development of asthma. Knowing the characteristics of atopic dermatitis in in children 2-5 years old is very helpful in clinical practice at Children's Hospital 1. Objectives: Description of the characteristics of atopic dermatitis in asthma in children 2-5 years old at Children's Hospital 1. Methods: Cross-sectional study from November 2023 to May 2024 at Children's Hospital 1. Results: The rate of atopic dermatitis accounted for 37.1% with 36 cases of atopic dermatitis among a total of 97 asthma patients enrolled in the study. The youngest age of onset of atopic dermatitis was 15 days old and the oldest is 10 months old, with an average age of onset at 1.51 ± 1.64 months old. More than 80% of patients had atopic dermatitis every 6 months or more. The most common treatment method was using moisturizing lotion (77.8%) and 5.6% of patients applied corticosteroids. For the group of asthma patients with atopic dermatitis, respiratory infections and cold weather were the two factors that cause the highest occurrence of asthma attacks (55.6% and 69.4%). In the group with atopic dermatitis, symptoms related to cough and wheezing had the leading rate at about 90%; Besides, rales of obstruction had a high rate of about 80%. Mild asthma attacks are higher than moderate asthma (52.8% vs. 47.2%). Patients with partially controlled asthma accounted for a higher proportion than those with uncontrolled asthma (50% vs 41.7%), with good control accounted for only 8.3%. Most patients with atopic dermatitis had level 2 asthma (88.9%). Conclusion: The rate of atopic dermatitis in our asthma patients was 37.1%. Patients with atopic dermatitis had level 2 asthma, accounted for 88.9%, sadly the rate of good asthma control was only 8.3%.