Adult height in patients with childhood onset atopic dermatitis
a Department of Child Health,
University of Manchester, b Department of Dermatology,
University of Manchester
Correspondence to: : Dr Leena Patel, Department of Child Health, Booth Hall Children's Hospital, Charlestown Road, Blackley, Manchester M9 7AA.
Accepted 10 February 1997
Cross sectional studies have reported impaired growth in
children with atopic dermatitis. If this growth impairment is
irreversible, it would be expected to adversely influence final height
attainment. The standing heights and other anthropometric parameters
were assessed in 35 adults with onset of atopic dermatitis before 5 years of age and a control group of 35 adults with adult onset contact
dermatitis or psoriasis.
There was no significant difference in the standing height SD score,
mid-parental height SD score, sitting height SD score, subischial leg
length SD score, nor body mass index between the atopic dermatitis and
control groups. The standing height SD score was not significantly
different among: (a) patients with atopic dermatitis affecting less
than 50% of their body surface area and those with greater than 50%
affected; (b) patients using the four different potency topical
corticosteroids; and (c) patients with atopic dermatitis without asthma
and those with coexisting asthma.
It is concluded that short stature is not a feature of our group of
adult patients with onset of atopic dermatitis before 5 years of age,
continuing into adulthood, and severe enough to require specialist
care. This suggests that if growth impairment occurs in childhood, it
is likely to be temporary and reversible.
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Key messages
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Severe childhood atopic dermatitis does not impair final height
attained
© 1997 by Archives of Disease in Childhood
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