Article
Gastrointestinal symptoms in patients with asthma
Carlo Caffarellia, Franca Maria Deriub, Vittorio Terzia, Francesca Perronea, Gianluigi dè Angelisa, David J Athertonc
a Clinica Pediatrica,
Università di Parma, Via Gramsci 14, 43100 Parma, Italy, b Dipartimento di Prevenzione, AUSL, 43100 Parma,
Italy, c Department of
Dermatology, Great Ormond Street Hospital for Children, London WC1N
3JH, UK
Correspondence to: Dr Caffarelli
Accepted 12
October 1999
AIMS
Minor
gastrointestinal abnormalities have been reported in children with
asthma, but the prevalence of gastrointestinal symptoms in these
children has not been studied.
METHODS75 children
with bronchial asthma and an age and sex matched control group were
recruited. Parents completed a questionnaire on gastrointestinal
symptoms and on asthma. Weight and height were measured; a clinical
evaluation of asthma was undertaken and skin prick tests were performed.
RESULTSChildren
with asthma had a significantly greater frequency of gastrointestinal
symptoms, particularly diarrhoea, vomiting, and abdominal pain, than
did controls. Gastrointestinal symptoms were slightly more common in
children with atopic symptoms other than asthma, or with positive skin
prick tests to foods. There was no association between current
gastrointestinal symptoms and medications or attacks of asthma.
CONCLUSIONSThe
occurrence of gastrointestinal symptoms appears to be common in
children with asthma. These symptoms might be caused by an atopic
gastroenteropathy, which might play a part in the pathogenesis of
asthma in some cases.
Keywords: gastrointestinal symptoms; asthma; atopy; food challenge
© 2000 by Archives of Disease in Childhood
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