Epidemiologic alpeculiarities of allergic dermatitis in children and adolescents in the population of Georgia | Abstract
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Epidemiologic alpeculiarities of allergic dermatitis in children and adolescents in the population of Georgia

Author(s): Nino Adamia

The aim of our study was an investigation of epidemiolog- ical peculiarities of allergic dermatitis in children and ad- olescents (distribution of atopic dermatitis, contact der- matitis, seborrheic dermatitis, urticaria and angioedema, psoriasis) in the population of Georgia. Materials and methods of the study: active detection of the symptoms of allergic dermatitis or the rate of incidence (dataobtained in 2015-2018; results of the study on applying (inflow) ambulatory patients to the clinic) has been conducted on the basis of one-moment epidemiological study. The study group included 2699 children, 3months to 15 years of age (girls - 1721 and boys - 978) living in Kutaisi and its suburban areas, in Tbilisi and Batumi. On the first stage of epidemiological study, the questionnaire-survey was completed by direct conversation with the parents. This survey questionnaire was focused on identifying the symptoms of allergic dermatitis (atopic dermatitis, con- tact dermatitis, seborrheic dermatitis, urticaria,psoriasis and angioedema) – the primary diagnosis, . In some pa- tients IgE level was detected by immunofermentic test. Results of clinico-allergological study; mathematical analysis of the study results were conducted by Microsoft Excel 2010 and SPSS/v12 software packages. The index p<0.05 was considered as a critical value of reliability. Results of the study and analysis: According to the age gradation, the studied contingent was divided into three groups: the first group of children population consisted of children from 3 months to 3 years of age, the second group -3to 9 years and the third group 9 - 15 years, respectively. According to the study results, atopic dermatitis was diagnosed in 24.8% of cas- es; urticaria in 5.9%;angioedemawas revealed in 2.4% of the studied population; contact dermatitis in 2.9%; seb- orrheic dermatitis – 3.2%; psoriasis - in 1.8% of primar- ily diagnosed children population (p<0.05), respectively. Nowadays, late diagnosis and hypo-diagnosis of allergic dermatitis still remains a problem. Conclusion:According to the epidemiological study, the diagnosis of allergic atopic dermatitis in children population was based on the clinical picture of the disease - clinical criteria.Actually, there is no laboratory testthat will independently determine the pres- ence of atopic dermatitis. Approximately 79% of patients have high blood serum IgElevels and peripheral blood eo- sinophilia (P <0.05). If we manage to identify specific aller- gen, the allergen- specificbloodserum IgE-antibodies willbe always detected, as it was proved by our study. According to the epidemiological study the high frequency of hypodiag- nosishas been observed.The current study requires paying more attention to the prospective monitoring of the men- tioned specific groups of the child population and studying the peculiarities of the further manifestations of allergic atopic dermatitis.