"Variables clínicas relacionadas a la dermatitis atópica en población infantil entre 5 a 12 años" Hospital Básico de Durán desde 1 de enero del 2019 hasta el 31 de octubre del 2019.

Abstract

Introduction: Despite the existence of several scientific studies on atopic diseases worldwide, they focus more frequently on rhinitis and asthma and less frequently on dermatitis. In Ecuador there are still shortcomings in the investigation of these pathologies and failures in the care of atopic patients due to the high cost of conducting allergy tests. Methodology: A retrospective and descriptive study was designed in patients aged between 5 - 12 years attended in the outpatient clinic of the Basic Hospital of Duran from January 1, 2019 to October 31, 2019. Objectives: To determine the correlation of the atopic dermatitis (AD) with clinical variables such as sex, age, comorbidities, most frequent clinical manifestations, family pathological history, percentage of body surface affected and treatment received. Results: A total of 322 pediatric patients were cared for during this period, of which only 164 met inclusion criteria. Of the 164 patients studied, 76 were male and 88 female, with an H: M ratio of 1: 0.7. AD was more frequent in the 5-7 year age group. The most associated body mass index (BMI) was the obesity category. The most prominent comorbidity was allergic rhinitis, but the majority of patients denied comorbidities. The family atopic antecedent with the highest percentage was atopic dermatitis, with the parent-child direct line as the degree of inbreeding most related to AD. Its most frequent clinical manifestation was itching. 57% of the patients presented affectation of 30-60% of the total body surface. The most used treatment was the combined therapy of Loratadine plus fusidic acid. Conclusion: The incidence of atopic dermatitis is higher in patients with younger ages and its total body surface involvement is usually 30-60%. Although half of the DA patients were in the obesity category, no statistically significant differences were found.