アトピー性皮膚炎と歯科症状

Atopic dermatitis and dental manifestations.

抄録

背景:

アトピー性皮膚炎は、小児によくみられる表皮機能障害を伴う慢性皮膚疾患である。本研究の目的は、小児患者におけるアトピー性皮膚炎と歯科疾患の相関の可能性を評価することである。

BACKGROUND: Atopic dermatitis is a chronic skin disease associated with epidermal dysfunction commonly seen in children. The aim of this study was to evaluate the possible correlation between atopic dermatitis and dental diseases in paediatric patients.

方法:

Policlinico Tor Vergataの小児歯科部門が、2013年1月から2013年6月までの6ヶ月間、2歳から17歳までの男女300人の小児患者を対象に観察研究を実施した。人種、性別、年齢などの社会人口統計学的データを収集した。全患者を対象に臨床検査と皮膚科検査を実施し、各患者と親族についてアトピーの家族歴と病歴を記録した。

METHODS: An observational study was conducted by the Department of Paediatric Dentistry of the Policlinico Tor Vergata among a group of 300 children, between 2 and 17 years of age and of both genders, for a period of 6 months from January 2013 to June 2013. Socio-demographic data including race, gender, and age were collected. Clinical and dermatological examinations were performed in all patients; family and medical history of atopy was recorded for each patient and relatives.

結果:

2～17歳、平均年齢8.9歳（±2.12歳）の300人の患者が登録され、90/300人（30％）がアトピー性皮膚炎に罹患していた。そのうち69/90人（76.6％）に甘え癖、49/90人（54％）にう蝕、58/90人（64.4％）に不正咬合、13/90人（14.4％）に解剖学的歯列異常が認められた。

RESULTS: Three hundred patients, aged between 2 and 17 years, with mean age of 8.9 (±2.12), were enrolled; 90/300 (30%) were affected by atopic dermatitis. Of those, 69/90 (76.6%) had a medical history of spoil habit, 49/90 (54%) had caries, 58/90 (64.4%) had malocclusion disease, 13/90 (14.4%) had anatomical dental abnormalities.

結論:

結論として、今回の調査では、一般集団と比較して小児歯科患者におけるアトピー性皮膚炎の有病率が高いことが判明し、歯科疾患がADの病因に関与している可能性が示唆された。

CONCLUSIONS: In conclusion, in the current investigation we found a higher prevalence of atopic dermatitis in pediatric dentistry patients compared to the general population suggesting that dental diseases could be involved in the pathogenesis of AD.