The Condition of the Esophagus and Stomach in Children with Atopic Dermatitis

The aim is to study the characteristics of esophageal mucosa in children with atopic dermatitis. Patients and methods: We examined 30 children aged 10 to 17 years (mean age 13,4±2,9) with chronic gastritis (CG) and atopic dermatitis (AD). The comparison group consisted of 33 children suffering from СG. The main group consisted of patients with AD in mild to moderate disease severity. In the examined patients was observed partially localized and widespread skin lesions. Clinical condition survey was conducted on a scale SCORAD. All patients underwent standard gastroenterological examination, including fibrogastroscopy (FGS). Statistical processing of the research materials was carried out using Statistica for Windows.Results: Allergic history in children with CG and AD had significantly more often (26,67% 0,00%, p<0.001). In 83,3% of children with atopic dermatitis revealed sensitization to cow`s milk protein - in 66.6%, to the egg - 79%; an allergic reaction to fish in 66,6%, for a chicken -50%, wheat – 36,6%, oats - from 23,3% of patients. Sensitization to domestic and epidermal allergens can be found at 6,67% of children with AD and CG, and allergic to tree pollen was observed in 15,6%. Complaints of heartburn equally apply to the patients in both groups (40,00% at 30.30%, p>0,05). Among comorbidities in children with AD were significantly more often identified the presence of asthma (13,33% and 0%, p<0,05). While reflux esophagitis in children with AD also was diagnosed significantly more often (20% and 3,03%, p<0.05). According to FGS in patients with AD was significantly more often detected erosive esophagitis (26,67% and 6.06%, p<0.05), gastroesophageal reflux (26,67% and 6,06%, p<0,05) and insufficiency of the cardia (20% and 3,03%, p<0.05). Conclusion: in children with atopic dermatitis were significantly more often identified with erosive reflux esophagitis that requires study of the relationship of atopic dermatitis and disease of the esophagus.