아토피성 질환관리의 최신 동향
Recent Progress in the Care of Atopic Disease in Children
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Background: Atopic dermatitis starts as an early childhood type1 hypersensitivity to environmental allergens and is often the first step in the atopic march to develop into asthma and allergic rhinitis. Despite progress that has been achieved in management, this health problem remains poorly controlled and cause great pain and suffering for many children and their parents. Purpose: To introduce nurses to recent progress in pathophysiology, management and preventive measure of atopic disease. Search method: Systemic search was done using the PubMed and CINAHL from 1980 to 2005. In addition, historical references were taken from standard medical textbook. Results: In total, 30 relevant publications were located including primary research and review articles that cover the pathophysiology, management, and preventive measure of atopy. The evidence emerging from literature indicate that non-medical approaches such as breastfeeding and probiotics would improve management outcomes. Conclusion: The review suggests that breastfeeding and probiotic approaches would be the most effective preventive measures for children with atopic diseases.
Abstract
Background: Atopic dermatitis starts as an early childhood type1 hypersensitivity to environmental allergens and is often the first step in the atopic march to develop into asthma and allergic rhinitis. Despite progress that has been achieved in management, this health problem remains poorly controlled and cause great pain and suffering for many children and their parents. Purpose: To introduce nurses to recent progress in pathophysiology, management and preventive measure of atopic disease. Search method: Systemic search was done using the PubMed and CINAHL from 1980 to 2005. In addition, historical references were taken from standard medical textbook. Results: In total, 30 relevant publications were located including primary research and review articles that cover the pathophysiology, management, and preventive measure of atopy. The evidence emerging from literature indicate that non-medical approaches such as breastfeeding and probiotics would improve management outcomes. Conclusion: The review suggests that breastfeeding and probiotic approaches would be the most effective preventive measures for children with atopic diseases.
참고문헌 (30)
- Arif, A. A, "Occupational exposures associated with work-related wheezing among U.S. workers", Am J Industr Med, 44(4), pp.368~76 (2003)
- Ball, T. M, "Siblings, day-care attendance, and the risk of asthma and wheezing during childhood", N Engl J Med, 343, pp.538~543 (2000)
- Boguniewicz, M, "Current management of atopic dermatitis and interruption of the atopic march", J. Allergy Clin. Immunol, 112, pp.S140~S150 (2003)
- Braunfahrlander, C, "Environmental exposure to endotoxin and its relation to asthma in school age children", N Engl J Med, 347, pp.869~877 (2002)
- Cookson, W. O, "The genetics of atopic dermatitis", Curr Opin Allergy Clin. Immunol, pp.S383~S387 (2002)
- Cookson,W, "The immunogenetics of asthma and eczema: A new focus on the epithelium", Nat Rev Immunol, 4, pp.978~988 (2004)
- Das,U.N, "perinatal strategy for preventing adult disease: The role o long-chain polyunsaturated fatty acids" (2002), Kluwer Academic Press
- Dell, S, "Breastfeeding and asthma in young children: Findings from a population-based study", Arch Pediatr Adolesc Med, 155, pp.126~165 (2001)
- Food and Agriculture Organization of the United Nations and World Health Organization, "Regulatory and clinical aspects of dairy probiotics. Food and Agriculture Organization of the United Nations and World Health Organization Expert Consultation Report. Food and Agriculture Organization of the United Nations and World Health Organization Working Group Report.(Online.)", ~ (2001)
- Jaakkola, J. J. K, "Maternal smoking in pregnancy, fetal development, and childhood asthma", Am J Public Health, 94, pp.134~140 (2004)
- Kalliomaki, M, "Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebocontrolled trial", Lancet, 361, pp.1869~1871 (2003)
- Katz, K. A., "Neonatal head circumference, neonatal weight, and risk of hay fever, asthma and eczema in a large cohort of adolescents from Sheffield", England. Clin Exp Allergy, 33, pp.737~745 (2003)
- Kobayashi, H., "An alternative approach to atopic dermatitis: PartII- Summary of cases and discussion", Evidence-based Complementary and Alternative Medicine, 1(2), pp.145~155 (2004)
- Kull, I., "Breast-feeding reduces the risk for childhood eczema", Allergy Clin Immunol, 116, pp.657~61 (2005)
- Leung, D. Y. M, "New insights into atopic dermatitis", J Clin Invest, 113, pp.651~657 (2004)
- Nield, J. E., "Bronchoconstriction in response to suggestion: Its prevention by an inhaled anticholinergic agent", Br Med J, 2(290), pp.674~ (1985)
- Novak, N, "Immune mechanisms leading to atopic dermatitis", J Alergy Clin. Immunol, 112, pp.S128~S139 (2003)
- Oddy, W. H, "The association between breastfeeding and asthma in six year old children: Findings from a prospective birth cohort study", BMJ, 319, pp.815~819 (1999)
- Patino, C. M, "Interactions between genes and environment in the development of asthma", Allergy, 56, pp.279~286 (2001)
- Reid, G, "Potential uses of probiotics in clinical practice", Clin Microbiol Rev, 16(4), pp.658~672 (2003)
- Roitt, I, "Immunology 4th(ed). Mosby, London. Chapter 22.2", ~ (1996)
- Sator, P. G, "Comparison of epidermal hydration and skin surface lipids in healthy individuals and in patients with atopic dermatitis", J Am Acad Dermatol, 48, pp.352~358 (2003)
- Sengler, C, "Integrations between genes and environmental factors in asthma and atopy: New developments" (2002), Reop Res
- Sibbald, B, "Genetic factors in Childhood asthma", Thorax, 35, pp.671~674 (1980)
- Spergel, J. M, "Atopic dermatitis and the atopic march", J Allergy Clin. Immunol, 112, pp.S128~S139 (2003)
- Strachan,D.P, "Hayfever, hygiene, and household size", BMJ, 299, pp.1259~1260 (1989)
- Thomson, C. C, "Body mass index and asthma severity among adults presenting to the emergency department", Chest, 124, pp.795~802 (2003)
- Verlengia, R, "Comparative effects of eicosapentaenoic acid and docosahexaenoic acid on proliferation, cytokine production, and pleiotropic gene expression in Jurkat cells", J Nutr Biochem, 15, pp.657~665 (2004)
- Woodcock, A, "Role of the indoor environment in determining the severity of asthma", Thorax, 53(2), pp.S47~S51 (1998)
- Yunginger, J. W, "A community based study of the epidemiology of asthma", Am Rev Respir Dis, 146, pp.888~894 (1992)