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Allergy Asthma Immunology
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Allergology Review

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  Authority of Polish Society of Allergology

vol 11. no 2. June 2006  

 Original articles
s of implementation of Program for Asthma and Allergic Disease Prevention evaluated in Out-patient Clinic of Paediatric Propaedeutics and Metabolic Bone Diseases, Medical University of Lodz

Introduction. The prevalence of allergic diseases in the recent years has continued to increase, and they have become one of the most frequent illnesses among children. In 1999-2003, the Health Department of Lodz launched and sponsored a Program of Asthma and Allergic Disease Prevention, to improve traceability of allergic diseases and effectiveness of their treatment. Under that program, GPs referred to the out-patient clinic all patients suspected of an allergy.
Aim of the study. Evaluate the reason of referring the patients to the clinic and assess the usefulness of allergic diagnostic tests.
Material and methods. The study included 602 children, aged 3 months to 19 years, referred in 1999-2001 for consultation at the Out-patient Clinic of Paediatric Propaedeutics and Metabolic Bone Diseases, Medical University of Lodz. The most frequent preliminary diagnosis was: lower respiratory tract recurrent infections, inhalation or food allergy, bronchial asthma, attacks of cough and running nose.
Results.The study demonstrated that 186 of 428 children (43%) had positive skin prick tests. High IgE plasma concentration was found in 136 of 317 children (43%), whereas the spirometry results below 80% of the normal value were observed only in 48 of 241 patients (22%).
Conclusions. Bronchial asthma was the most frequent final diagnosis (35%). Other diagnosed diseases included allergic rhinitis, atopic dermatitis, and food allergy. For some children (22%), final diagnosis could not be made and additional testing/obervation is required.

keywords: program prewencji alergii, dziecko, alergia, diagnostyka, astma, allergic disease prevention program, child, allergy, diagnostics, asthma

pages: from 103 to 108

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