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An Integrative Approach to Atopic Disorders in Children

机译:儿童特应性疾病的综合方法

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摘要

Atopic disorders, including asthma, allergic rhinitis, and eczema, are widely considered to be rising in prevalence at epidemic rates. Support for this concern comes from several multinational sources, including the recently published International Study of Asthma and Allergies in Childhood (ISAAC), which surveyed rates of atopic disease in nearly 200,000 children ages 6-7 in 37 countries and in more than 300,000 children ages 13-14 in 56 countries. The United States Centers for Disease Control and Prevention estimated that the prevalence of asthma among U.S. children has increased from 3.6 percent in 1980 to 5.8 percent in 2003. Food allergies have also risen in prevalence in the United States, with reactions to peanuts and tree nuts reportedly doubling over a 5-year period. Eosinophilic esophagitis, a formerly rare allergic disorder leading to severe gastroesophageal reflux in newborns, has been rapidly increasing in prevalence in many Western countries, including Australia. Primary care pediatric practitioners are seeing many more infants who have early atopic signs (dermatitis, gastroesophageal reflux, chronic rhinorrhea, and recurrent wheezing).
机译:特应性疾病,包括哮喘,过敏性鼻炎和湿疹,被普遍认为以流行率上升。对这种担忧的支持来自多个跨国来源,包括最近发表的《国际儿童哮喘和过敏研究》(ISAAC),该研究调查了37个国家的近200,000名6-7岁儿童以及300,000多个儿童年龄中的特应性疾病56个国家/地区的13-14岁。美国疾病预防控制中心估计,美国儿童哮喘的患病率已从1980年的3.6%上升到2003年的5.8%。在美国,食物过敏症的患病率也有所上升,对花生和坚果的反应据说在5年内翻了一番。嗜酸性食管炎是一种导致新生儿严重胃食管反流的罕见变态反应性疾病,在包括澳大利亚在内的许多西方国家,其患病率正在迅速增加。初级保健儿科医师发现更多的婴儿患有早期特应性体征(皮炎,胃食管反流,慢性鼻漏和反复喘息)。

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