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- 저자 : 이원철(Jin Wou Kim) (검색결과 1 건)
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경기도 부천시 국민학교 1학년 아동들의 아토피 피부염의 유병율과 동반된 보조 피부증상의 빈도
이상진(Sang Chin Lee),변대규(Dae Gyoo Byun),김진우(Won Chul Lee),이원철(Jin Wou Kim) 대한피부과학회 1995 대한피부과학회지 Vol.33 No.1
Bsckground : The incidence of atopic dermatitis(AD) varie widely by different ages and it has been well-founded that the epidemiology of AD has been studied on admission of the first grade schoolchildren. AD is a common skin.disease of childhood and tends to increase significantly during recent decacles, but informations regarding the eact prevalence of AD, based on the large-scale general population study, are unavailable in Korea. Objective : The purpose of this study is to elucidate the prevalence of AD and to evaluate the diagnostic significance of some well-known clinical features associated with AD in the first grade school children in one of Korean citie Puchon, Kyunggi-do. Methods : Four thousands and eighteen first grde school children(boys; 2072, girls; 1946) participated in this study. Two dermatologists determined presence of skin lesions by through skin examination. Diagnosis of AD was made only who typical flexural and/or extensor and/or infraauricular fissure/eczema exist. The frequny as well as their diagnostic significance of ten minor features of AD(xerosis, ichthyosifor skin lesion, hyperlinear palm, keratosis pilaris, non-specific hand/foot dermatitis, cheilitis, ple eczema, perifollicular accentuation, pityriasis alba, Dennie-Morgan infraorbital fold) thught suitable items for field survey by authors, were also evaluated. Results : The total prevalence of AD in the first grade school children of Puchon city was 3.78%. The prevalence in boys was 3.37% and that in girls was 4.1%. Associated minor features in individuals diagnosed as having AD were, in order of frqiency, pityriasis alba(59.8%), perifollicular accentuation(57.8%), keratosis pilaris(56.5%), hyprlinear palms(55.2%), xerosis (43.3%), Dennie-Morgan infraorbital fold(26.3%), etc. All bu the ichthyosiform skin lesions and nipple eczema were significantly more frequent in indivulu, 1s diagnosed as having AD(P<0.01). Conclusion : A relatively low prevalence shown in this stud right be due to arather strict diagnostic criteria. Some belpful and diagnoktically significan tumor clinical features of AD, suitable for field survey suggested. Further studies are need for accurate estimation of the prevalence of AD in Korea including different regional and population. (Kor J Dermatol 1995; 33(1): 1-7)
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