再発性クループに関するアレルギーの関与

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  • RECURRENT CROUP AND ALLERGY

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We studied the clinical pictures of the recurrent croup, which have recently attracted attention because it was thought to be related to allergy. Among the 40 patients with croup syndrome who were admitted during the period from February in 1976 to June in 1988, four (10%) had relapses twice or more. Our study on 10 patients (the above 4 and 6 others that we had studied in Saitama Children's Hospital at Yorii) revealed that the majority was male. Most of those patients had family and past histories of allergic diseases and higher IgE levels. The recurrent croup patients had predisposition to allergy. To make sure of the foregoing fact and to know the incidence of the recurrent croup, we studied 7131 primary school children in Saitama prefecture. 1404 among the school children (19.7%) had experienced croup syndrome including 367 (5.1%) cases of recurrent croup. The average number of relapses was 2.8 and the maximum was 11. Both the patients with croup syndrome and recurrent croup had high incidence of allergic family history and past history (more than 70% respectively). It suggests that allergy must be taken into consideration in the treatment of the patient with croup syndrome.

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