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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">La dermatitis at&#243;pica &#40;DA&#41; es una enfermedad de etiolog&#237;a desconocida&#44; con clara predisposici&#243;n gen&#233;tica y una probable participaci&#243;n de factores ambientales&#46; El objetivo del estudio era evaluar los factores de riesgo asociados al diagn&#243;stico y aparici&#243;n de brotes de DA en ni&#241;os espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; multic&#233;ntrico&#44; retrospectivo de casos y control que incluy&#243; una muestra de 4&#46;243 ni&#241;os menores de 14 a&#241;os afectados de DA y 978 controles ajustados por edad y sexo&#46; Se recogieron datos de antecedents familiares y caracter&#237;sticas del entorno familiar en ambos grupos y caracter&#237;sticas cl&#237;nicas de la DA en los pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Los factores de riesgo significativos para la aparici&#243;n de DA fueron los antecedentes familiares y las infecciones concomitantes de la piel&#46; La prevalencia de DA en familiars de primer grado fue del 39 &#37; y en familiares de Segundo grado&#44; del 19 &#37; &#40;superior en l&#237;nea materna que paterna&#41;&#46;a edad media de los ni&#241;os afectados fue de 4&#44;2 &#40;desviaci&#243;n est&#225;ndar &#91;DE&#93; 3&#44;4&#41; a&#241;os y la edad media en el diagn&#243;stico fue de 1&#44;5 &#40;DE 2&#44;2&#41; a&#241;os&#44; con un n&#250;mero medio de brotes de la enfermedad de 2&#44;9 &#40;DE 2&#44;6&#41; en el a&#241;o previo&#46; En las zonas de Espa&#241;a con clima m&#225;s fr&#237;o &#40;cant&#225;brico y continental&#41; se observ&#243; mayor n&#250;mero de brotes&#46;Los ni&#241;os con DA presentaron mayor coincidencia de enfermedades cut&#225;neas e infecciosas que los ni&#241;os control&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La DA es una enfermedad con una gran predisposici&#243;n gen&#233;tica&#44; modulada por factores clim&#225;ticos y que acarrea alteraciones inmunol&#243;gicas&#46; Por el contrario no encontramos influencias significativas de factores ambientales dom&#233;sticos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Atopic dermatitis &#40;AD&#41; is a cutaneous disease of unknown etiology&#46; It shows a clear genetic predisposition with probable environmental modulation&#46; This study evaluated risk factors associated with diagnosis and flares of AD in Spanish children&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed an observational&#44; multicenter&#44; retrospective case-control study that included 4243 children aged less than 14 years old with AD and 978 controls matched for age and sex&#46; Family history of disease and environmental variables were collected in both groups and clinical history of AD was recorded in the case group&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Significant risk factors for AD were&#58; a family history of the disease and concomitant cutaneous infections&#46; The prevalence of AD in first degree relatives was 39 &#37; and that in second degree relatives was 19 &#37; &#40;higher in maternal than paternal lines&#41;&#46; The mean age of children with AD was 4&#46;2 &#40;SD 3&#46;4&#41; years and the mean age at diagnosis was 1&#46;5 &#40;SD 2&#46;2&#41; years&#44; with a mean of 2&#46;9 &#40;SD 2&#46;6&#41; flares during the previous year&#46; Cold weather &#40;Cantabrian and Continental Iberian Peninsula areas&#41; was related to a greater number of flares&#46; Children with AD had a greater number of concomitant cutaneous diseases and infections than children in the control group&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">AD is mainly a genetic disease&#44; with climatic factors involved in severity modulation&#44; and with important immunological alterations&#46; In contrast&#44; this study found no domestic environmental factors that were associated with disease onset&#46;</p>"
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Originales
Factores de riesgo y prevalencia familiar de la dermatitis atópica en España (estudio ELIHO)
Risk factors for atopic dermatitis and familial prevalence in spain (eliho study)
A. Blanco Quirósa,
Corresponding author
ablanco@ped.uva.es

Correspondencia: Dr. A. Blanco Quirós. Área de Pediatría. Facultad de Medicina. Ramón y Cajal, 5. 47005 Valladolid. España.
, J.M.ª Díaz Castellab, M. Balañá Vilanovac, N. Valveny Llobetd
a Facultad de Medicina. Universidad de Valladolid. España
b Novartis Farmacéutica, S.A.Departamento I + D. Barcelona. España
c CDC Spain. Barcelona. España
d Infociencia S.L. Barcelona. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">La dermatitis at&#243;pica &#40;DA&#41; es una enfermedad de etiolog&#237;a desconocida&#44; con clara predisposici&#243;n gen&#233;tica y una probable participaci&#243;n de factores ambientales&#46; El objetivo del estudio era evaluar los factores de riesgo asociados al diagn&#243;stico y aparici&#243;n de brotes de DA en ni&#241;os espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; multic&#233;ntrico&#44; retrospectivo de casos y control que incluy&#243; una muestra de 4&#46;243 ni&#241;os menores de 14 a&#241;os afectados de DA y 978 controles ajustados por edad y sexo&#46; Se recogieron datos de antecedents familiares y caracter&#237;sticas del entorno familiar en ambos grupos y caracter&#237;sticas cl&#237;nicas de la DA en los pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Los factores de riesgo significativos para la aparici&#243;n de DA fueron los antecedentes familiares y las infecciones concomitantes de la piel&#46; La prevalencia de DA en familiars de primer grado fue del 39 &#37; y en familiares de Segundo grado&#44; del 19 &#37; &#40;superior en l&#237;nea materna que paterna&#41;&#46;a edad media de los ni&#241;os afectados fue de 4&#44;2 &#40;desviaci&#243;n est&#225;ndar &#91;DE&#93; 3&#44;4&#41; a&#241;os y la edad media en el diagn&#243;stico fue de 1&#44;5 &#40;DE 2&#44;2&#41; a&#241;os&#44; con un n&#250;mero medio de brotes de la enfermedad de 2&#44;9 &#40;DE 2&#44;6&#41; en el a&#241;o previo&#46; En las zonas de Espa&#241;a con clima m&#225;s fr&#237;o &#40;cant&#225;brico y continental&#41; se observ&#243; mayor n&#250;mero de brotes&#46;Los ni&#241;os con DA presentaron mayor coincidencia de enfermedades cut&#225;neas e infecciosas que los ni&#241;os control&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La DA es una enfermedad con una gran predisposici&#243;n gen&#233;tica&#44; modulada por factores clim&#225;ticos y que acarrea alteraciones inmunol&#243;gicas&#46; Por el contrario no encontramos influencias significativas de factores ambientales dom&#233;sticos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Atopic dermatitis &#40;AD&#41; is a cutaneous disease of unknown etiology&#46; It shows a clear genetic predisposition with probable environmental modulation&#46; This study evaluated risk factors associated with diagnosis and flares of AD in Spanish children&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed an observational&#44; multicenter&#44; retrospective case-control study that included 4243 children aged less than 14 years old with AD and 978 controls matched for age and sex&#46; Family history of disease and environmental variables were collected in both groups and clinical history of AD was recorded in the case group&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Significant risk factors for AD were&#58; a family history of the disease and concomitant cutaneous infections&#46; The prevalence of AD in first degree relatives was 39 &#37; and that in second degree relatives was 19 &#37; &#40;higher in maternal than paternal lines&#41;&#46; The mean age of children with AD was 4&#46;2 &#40;SD 3&#46;4&#41; years and the mean age at diagnosis was 1&#46;5 &#40;SD 2&#46;2&#41; years&#44; with a mean of 2&#46;9 &#40;SD 2&#46;6&#41; flares during the previous year&#46; Cold weather &#40;Cantabrian and Continental Iberian Peninsula areas&#41; was related to a greater number of flares&#46; Children with AD had a greater number of concomitant cutaneous diseases and infections than children in the control group&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">AD is mainly a genetic disease&#44; with climatic factors involved in severity modulation&#44; and with important immunological alterations&#46; In contrast&#44; this study found no domestic environmental factors that were associated with disease onset&#46;</p>"
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Article information
ISSN: 16954033
Original language: Spanish
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