Gastrointestinal symptoms in atopic eczema
a Clinica Pediatrica,
Università di Parma, Parma, Italy, b Dipartimento di Prevenzione, AUSL,
Parma, Italy, c Department of Dermatology,
Great Ormond Street Hospital for Children, London
Correspondence to: Dr Carlo Caffarelli, Clinica Pediatrica, Via Gramsci 14, 43100 Parma, Italy.
Accepted 26 September 1997
AIMS
To determine the prevalence of
gastrointestinal symptoms in children with eczema and the association
of such symptoms with the extent of eczema or skin prick test results.
METHODSSixty five children with atopic eczema
and a control group matched for age and sex were recruited. Their
parents completed a questionnaire about the children's
gastrointestinal symptoms. The children's skin was examined; their
weight, height, and abdominal circumference were measured; and skin
prick tests were carried out.
RESULTSGastrointestinal symptoms, especially
diarrhoea, vomiting, and regurgitation, were more common in the
children with eczema. Diarrhoea appeared to be associated with the
ingestion of specific foods. Gastrointestinal symptoms were related to
diffuse eczema and positive skin prick tests to foods. There was no
anthropometric differences between the patient and control groups.
CONCLUSIONSA gastrointestinal disorder is common
in children with eczema, especially with diffuse distribution. This may
be responsible for substantial symptoms and may play a part in the
pathogenesis of the disease and in the failure to thrive with which it
is sometimes associated.
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© 1998 by Archives of Disease in Childhood
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