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العنوان
Inattention And Hyperactivity Symptoms In Children With Atopic Disorders \
المؤلف
Gamal, Abdelhamid Tharwat.
هيئة الاعداد
باحث / Abdelhamid Tharwat Gamal
مشرف / Magdy Karam El Din Ali
مشرف / Rehab Abd El Kader Mahmoud
مناقش / Rehab Abd El Kader Mahmoud
تاريخ النشر
2014.
عدد الصفحات
202 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة عين شمس - معهد الطفولة - Medical Studies of Children
الفهرس
Only 14 pages are availabe for public view

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from 202

Abstract

The term ”atopy” from the Greek atopos, meaning out of place is often used to describe Persons those have a hereditary predisposition to produce immune-globulin E (IgE) antibodies against common environmental allergens, and to which everyone is exposed but to which the majority do not produce a prolonged IgE-antibody response. (Truter I, 2011).
The increase in prevalence and burden of atopic diseases, i.e. eczema, rhinitis, and asthma over the past decades was paralleled by a worldwide increase in attention deficit hyperactivity disorder (ADHD) diagnosis (Schmitt J et. al. 2010).
Atopic diseases may cause significant problems in everyday life ,The rates of inattention, hyperactivity symptoms, depression, stress-related disorders, have been shown to be increased in children with eczema and with asthma (Vandenplas O, et al 2010).
Tsai MC et al., 2011 revealed that there is an increment of the rate of inattention, hyperactivity, and level of social stress and anxiety among atopic patients and advice evaluation and treatment of ADHD for those patients.
The aim of the present study was to assess the symptoms of inattention and hyperactivity in atopic children and to detect correlation between inattention and hyperactivity symptoms and atopic disorders.
This study was conducted on 80 children, 20 child had bronchial asthma, 20 child had atopic dermatitis, 20 child had allergic rhinitis and 20 child was a control, with age range 5 to 10 years who attended the outpatient clinic of Abo El-Resh pediatric hospital, Cairo University, in the period from 1st of June 2012 till 31st of May 2013 and fulfilled the inclusion criteria.
The children were subjected to full history taking and thorough clinical examination with assessment of the atopic disorders (bronchial asthma, atopic dermatitis and allergic rhinitis) according to the onset, duration, severity, degree of control and treatment used. Parents of children completed 49 items questionnaire of attention deficit and hyperactivity symptoms (ADHD-SC4) to assess the presence of inattention and hyperactivity symptoms among children with AD,AR and bronchial asthma.
All results were statistically analyzed and compared with each other:
Full socioeconomic data were obtained and analyzed.
The result of I.Q. test were obtained and analyzed denoting no affection as the majority of cases were average I.Q.
The result of ADHD-SC4 questionnaire showed high frequency of both inattention and hyperactivity symptoms among children with AD, high frequency of inattention symptoms in bronchial asthma while no significant increase of frequency of both inattention and hyperactivity symptoms among children with AR.
The result of both inattention and hyperactivity symptoms showed highly statistical significant correlation with the type of the disease, sleeping disorder and itching.
The result of atopic dermatitis showed statistical significant correlation with the hyperactivity symptoms and this affected by duration of the disease, but this statistical correlation affected by the other conflicting factors such as sleeping disturbance and itching.
There was no statistical significance between inattention and hyperactivity symptoms and the severity, control and medication used in the treatment.
Finally, atopic disorders with recurrent finding that can influence social, physical, and psychological status of the patient. Both the nature of the disease and the associated symptoms such as itching and its effect on the sleeping might increase the frequency of inattention and hyperactivity symptoms in children.