Evidências da relação entre a dermatite atópica e o desenvolvimento da marcha atópica: revisão integrativa

Abstract

Allergic diseases are common diseases found in medical care in primary care in pediatrics. Atopic dermatitis, chronic inflammatory disease of multifactorial etiology and with a strong impact on the quality of life of the carrier population and their families is one of the most recorded in the care. This disease has a high prevalence alone and in association with the progression of other allergic conditions (condition called atopic march), especially asthma and allergic rhinitis. From this association, the scientific literature suggests that atopic dermatitis would be the initial event in the development of atopic march, especially if the skin disease appears early in life, with subsequent development of asthma and allergic rhinitis. This study aims to check the evidence of the relationship between dermatitis and other allergic conditions (rhino and asthma) of atopic march. We review by integrative method using the key words: risk factors, atopic dermatitis, allergic rhinitis, asthma, prevention, atopic march; databases consulted were Virtual Library databases in Health (BVS), which adds the Latin American and Caribbean Health Sciences (LILACS) and the Medical Published - service of the US National Library of Medicine (PubMed). After analyzing the articles, and considering the period of publication in the last six years we were included and critically analyzed five studies. The studies showed significant population samples and methods that allowed to classify the items as studies of good levels of evidence. The results of the study confirmed the risk relationship between atopic dermatitis, asthma and allergic rhinitis by the prevalence of the latter disease in dermatitis board early in the child's life, especially when found in its most severe clinical form and through reliable risk measures of association. Knowing the prevalence and consequences of allergic diseases bring to the quality of life, especially in children and evidenced age the risk ratio in selected studies can confirm the importance of using strategies in primary care, mainly related to the treatment and conduct of atopic dermatitis in children early in life in order to prevent the development of asthma and allergic rhinitis and its consequences.