Eczema, birth order, and infection.

Abstract:

:The association between infections occurring in the first 2 years of life and development of eczema was investigated in 1,782 control children from a national population-based case-control study in the United Kingdom conducted over the period 1991-1996. Dates of eczema and infectious diagnoses were ascertained from contemporaneously collected primary care records. Children diagnosed with eczema before the age of 2 years had more prior clinically diagnosed infections recorded than did children without eczema (rate ratio = 1.26, 95% confidence interval (CI): 1.18, 1.36). The difference in infection rates between children with and without eczema was apparent from birth and throughout the first 2 years of life. As expected, compared with children of second or higher birth order, those firstborn were at increased risk of eczema (p = 0.020); however, the relation between eczema and prior infection was evident only among children of second or higher birth order and not among firstborn children (rate ratio = 1.45, 95% CI: 1.32, 1.59, and rate ratio = 1.08, 95% CI: 0.98, 1.20, respectively). The authors' results are consistent with the notion that the association between birth order and eczema is unlikely to be attributable to variations in early infectious exposure.

journal_name

Am J Epidemiol

authors

Hughes AM,Crouch S,Lightfoot T,Ansell P,Simpson J,Roman E

doi

10.1093/aje/kwn042

subject

Has Abstract

pub_date

2008-05-15 00:00:00

pages

1182-7

issue

10

eissn

0002-9262

issn

1476-6256

pii

kwn042

journal_volume

167

pub_type

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