Hea-Kyoung Yang, Jaehee Choi, Woo Kyung Kim, So-Yeon Lee, MD, Yong Mean Park, Man-Yong Han, MD, Myung-Il Hahm, Yoomi Chae, Hye-young Kim, Kang Mo Ahn, MD, HoJang Kwon, MD, PhD, Jihyun Kim, MD; Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Korea, Environmental Health Center for Atopic Diseases, Department of Pediatrics, Samyook Medical Center, Seoul, South Korea, Department of Pediatrics, Inje University College of Medicine, Seoul, Korea, Department of Pediatrics, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Department of Pediatrics, Hallym University Secred Heart Hospital, Anyang, South Korea, Kunkuk University Hospital, South Korea, CHA University Bundang Medical Center, Seongnam, South Korea, Department of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Korea, Department of Occupational and Environmental Medicine, College of Medicine, Dankook University, Department of Pediatrics, Pusan National University School of Medicine, Busan, Korea, Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, South Korea, Preventive Medicine, Dankook University College of Medicine, Cheonan, South Korea, Dankook University, Cheonan, Environmental Health Center for Atopic Diseases, Seoul, South Korea, Department of Pediatrics, SamsungMedical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. RATIONALE: We aimed to investigate the association between concentration of serum vitamin D levels and recent symptoms of allergic diseases in elementary schoolchildren. METHODS: A nationwide cross-sectional survey was conducted in the first grade students from randomly selected 45 elementary schools. Recent symptoms of atopic dermatitis (AD) or asthma were defined as those who were medically treated for AD or asthma. Recent symptoms of allergic rhinitis (AR) were considered to be present if a child had the experience of treatment for AR during the last 12 months and showed a positive skin prick test responses to common 18 inhalant allergens. All the children were examined by a pediatrician to determine the presence of eczema in their neck and flexural areas of both arms. Serum 25-hydroxyvitaminD [25(OH) D] was measured by chemiluminescent microparticle immunoassay. RESULTS: The overall prevalence rates of vitamin D insufficiency (20 to 29 ng/mL) and deficiency (<20 ng/mL) were 64.1% and 18.4%. The adjusted odds ratio (aOR) for the presence of AR was 0.980 (95% CI: 0.962–0.998) for each increase of 1 ng/mL in 25(OH)D, while no association was found between 25(OH)D levels and the prevalence of AD or asthma. The aOR per increase of 1 ng/mL in 25(OH)D was 0.974 (95% CI 0.955-0.994) for the presence of eczema on the day of survey. CONCLUSIONS: A high prevalence of vitamin D deficiency and insufficiency was found in Korean elementary schoolchildren, and vitamin D level was associated with recent symptoms of AD and AR. 186 Clinical and Epidemiological Differences in Patients with Acute Urticaria and Chronic Urticaria Mehtap Haktanir Abul, MD, Fazil Orhan, Zekiye Ilke Kilic Topcu, Taner Karakas, Ali Baki; Karadeniz Technical University Faculty of Medicine Department of Pediatric Immunology and Allergy, Trabzon, Turkey, Karadeniz Technical University Faculty of Medicine Department of Pediatric Immunology and Allergy, Karadeniz Technical University Faculty of Medicine Department of Pediatric Pulmonology. RATIONALE: Urticaria is commonly seen and it is difficult to determine the etiologic factors in children. The aim of the study is to define different clinical patterns of urticaria in childhood. METHODS: This is a prospective study included the children who were referred to our clinic for evaluation of urticaria. Laboratory tests including serologic, autoimmune, and allergic analyses were conducted. RESULTS: One hundred and eighty two children (90 females and 92 males) were evaluated. The age range was 4 month17 years old. Of the cases, 58.2 % (n5106) were diagnosed with acute urticaria and 41.8 % (n576) were diagnosed with chronic urticaria. There wasn’t any significant difference in gender between acute and chronic urticaria group. The median agewas 5 years (range: 4month16 years old) and 6.5 years (range: 7 month17 years old) for acute and chronic urticaria groups respectively. CRP, IgE, eosinophil, C3 and C4 levels are higher in acute urticaria than chronic urticaria patients that were not statistically significant. Physical urticaria was commonly seen in children with chronic urticaria (48.7%). Spontaneous resolution is more frequently seen in acute urticaria patients than the chronic urticaria patients (p50.016). CONCLUSIONS: There are clinical and epidemiological differences in patients with acute urticaria and patients with chronic urticaria. Recurrence, spontaneous resolution seems to be the factors associated with the differences in both group of patients. Physical urticaria is commonly seen and should be questioned in childrenwith chronic urticaria.
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