Journal of asthma, allergy and clinical immunology (천식및알레르기)

The Korean Academy of Asthma, Allergy and Clinical Immunology (대한천식알레르기학회)
권호 표지

A Study on the Use of Complementary Alternative Medicine in Children with Atopic Dermatitis

소아 아토피피부염에서의 대체보완요법 이용에 관한 연구

Chang, Eun-young;Chung, Seung-won;Ahn, Kang-mo;Lee, Sang-il
장은영;정승원;안강모;이상일

  • Published : 20050600
⟨ Previous Next ⟩

Abstract

Background: Complementary alternative medicine (CAM) has been commonly used for adults and children, although there is little evidence of effectiveness. In addition, concerns about the adverse effects of CAM keep increasing. Objective: The purpose of this study was to investigate the nature and prevalence of CAM used in infants and young children with atopic dermatitis. Method: A total of 130 infants and children with atopic dermatitis were recruited. Atopic dermatitis was diagnosed by Hanifin's criteria. Parents were asked to complete the questionnaires on the use of CAM. Result: Approximately 87.6% of children used CAM for the treatment of atopic dermatitis. Most commonly used therapies were herbal remedies, organic food diet, and soft water bath. There was no statistically significant difference in the age, duration of illness, and socio-demographic background of parents between children who did or did not use CAM. Conclusion: A variety of CAM is being used in a substantial proportion of children with atopic dermatitis. Thorough investigation of benifits and risks of CAM are required for better treatment and education of caretakers or children with atopic dermatitis.

Keywords

References

  1. Lee SI, Khang YH, Lee MS, Koo HJ, Kang WC, Hong CK. Complementary and alternative medicine use in Korea: prevalence, pattern of use, and out-of-pocket expenditures. Korean J Prev Med 1999;32:546-55
  2. Choi YJ, Chung HW, Choi SY. A study on the use of alternative medicine for cancer patients admitted at a hospital. Korean J Public Health 1998;24:167-81
  3. Ernst E. The usage of complementary therapies by dermatological patients: a systemic review. Br J Dermatol 2000;142:857-61 https://doi.org/10.1046/j.1365-2133.2000.03463.x
  4. Guyette JR, Rygwelski JM. Complementary or alternative medicine: therapies for common dermatologic conditions. Clin Fam Pract 2002;4:4-22
  5. Koh BK, Lee HJ, Kim DH, Ha SJ, Ha HJ, Park YM, et al. Alternative therapy for atopic dermatitis. Korean J Derrnarol 2001;39:16-21
  6. Senna G, Passalacqua G, Crivellara M, Bonadonna P, Gani F, Dorrizzi R, et al. Unconventional medicine: a risk of undertreatment of allergic patients. Allergy 1999;54:1117-9
  7. Schafer T, Riehle A, Wichmann HE, Ring J. Alternative medicine in allergies: prevalence, patterns of use and costs. Allergy 2002; 57:694-700 https://doi.org/10.1034/j.1398-9995.2002.23469.x
  8. South M, Lim A. Use of complementary and alternative medicine in children: too important to ignore. J Paediatr Child Health 2003;39:573-4 https://doi.org/10.1046/j.1440-1754.2003.00236.x
  9. Lee SW, Lee KE, Park EH, Cho HS, Cha JK, Lee HR. A survey on the use of alternative medicine in allergy patients. Pediatr Allergy Respir Dis (Korea) 2001;11:249-59
  10. Hanifin JM, Rajka G. Diagnostic feature of atopic dermatitis. Acta Derm Venerol 1980;2:44-7
  11. Ottolini M, Hamburger E, Loprieto J: Alternative medicine use among children in the Washington DC area. Pediatric Academic Societies, Sanfrancisco CA, 1999
  12. Simpson N, Pearce A, Finlay F, Lenton S. The use of complementary medicine in pediatric outpatients clinics. Ambulatory Child Health 1998;3:351-6
  13. Wilson K, Klein J. Adolescents' use of complementary and alternative medicine. Pediatr Res 2000;47:13A
  14. Ernst E. Prevalence of complementary alternative medicine for children: a systemic review. Eur J Pediatr 1999;158:7-11 https://doi.org/10.1007/s004310051000
  15. Jensen P. Alternative therapy for atopic dermatitis and psoriasis: patient-reported motivation, information source and effect. Acta Derm Venereal 1990;70:425-8
  16. Andrews L, Lokuge S, Sawyer M, Lillywhite L, Kennedy D, Martin J. The use of alternative therapies by children with asthma; a brief report. J Paediatr Child Health 1998;34:131-4 https://doi.org/10.1046/j.1440-1754.1998.00179.x
  17. Sawyer MG, Gannoni AF, Toogood IR, Antoniou G, Rice M. The use of alternative therapies by children with cancer. Med J Aust 1994; 160:320-2
  18. Southwood TR, Malleson PN, Roberts-Thompson PJ, Mahy M. Unconventional remedies used for patients with juvenile arthritis. Pediatrics 1990;85: 150-4
  19. Stubberfield T, Parry T. Utilization of alternative therapies in attention deficit hyperactivity disorder. J Paediatr Child Health 1999;35:450-3 https://doi.org/10.1046/j.1440-1754.1999.355401.x
  20. Schachner L, Field T, Hernandez-Reif M, Duarte AM, Krasnegor J. Atopic dermatitis symptoms decreased in children following massage therapy. Pediatr Dermarol 1998; 15:390- 5 https://doi.org/10.1046/j.1525-1470.1998.1998015390.x
  21. Niggemann B, Gruber C. Unconventional and conventional medicine: who should learn fram whom? Pediatr Allergy Immunol 2003; 14:149-55 https://doi.org/10.1034/j.1399-3038.2003.00020.x
  22. Couper RT. Complementary therapies and children. J Paediatr Child Health 2002;38:339-400 https://doi.org/10.1046/j.1440-1754.2002.00003.x
  23. Kemper KJ. Complementary and alternative medicine for children: does it work? Arch Dis Child 2001;84:6-9 https://doi.org/10.1136/adc.84.1.6