Atopic disorders are more common in childhood migraine and correlated headache phenotype

Özge, Aynur; Öksüz, Nevra; Ayta, Semih; Uludüz, Derya; Yıldırım, Veli; Toros, Fevziye; Taşdelen, Bahar

doi:10.1111/ped.12381

Cited by 29 publications

(17 citation statements)

References 19 publications

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“…A significant association was also found between AD and migraine for both sexes. This relationship was previously described in some smaller studies in children that showed 18.2% of individuals with migraine also have atopic disease . In addition, a case–control study in children with and without migraine demonstrated a higher risk of AD and other atopic diseases .…”

Section: Discussionsupporting

confidence: 73%

Atopic Dermatitis in Israeli Adolescents from 1998 to 2013: Trends in Time and Association with Migraine

Shreberk‐Hassidim

Hassidim

Gronovich

et al. 2017

Pediatric Dermatology

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Section: Discussionsupporting

confidence: 73%

Atopic Dermatitis in Israeli Adolescents from 1998 to 2013: Trends in Time and Association with Migraine

Shreberk‐Hassidim

Hassidim

Gronovich

et al. 2017

Pediatric Dermatology

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“…The relationship between asthma, migraine-type headaches and daily headaches have been reported in several studies 14,16-18,26-28. However, in the majority of these studies, diagnosis of asthma is not definitive, and is solely based on medical history of the patients, and asthma symptoms.…”

Section: Discussionmentioning

confidence: 94%

Assessment of Headache in Asthma Patients

Güngen¹,

Güngen²

2017

Pak J Med Sci

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Background and Objective:Headache is a common health problem, which may present with neurological diseases and other chronic diseases, and has an adverse effect on the emotional status. We think that headache is a common disease in asthmatic patients. This study aims to evaluate the presence of headache and risk factors in patients with asthma.Methods:Ninety-three patients with asthma and 58 healthy control subjects were included in the study. The presence of headache was evaluated according to the revised criteria of the International Classification of Headache Disorders, 2nd edition (ICDH-II). Asthma control test (ACT) was performed to determine asthma control status. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were performed in all participants. Demographic features, used medications, and presence of headaches were recorded.Results:Fifty-eight patients with asthma (62.4%) had headaches, whereas only 19 control subjects (32.8%) had headaches. Thirty-two patients (34.4%) had tension-type headache, 19 patients (20.3%) had migraine-type headache, and 7 patients (7.5%) had other types of headaches. The frequency of headaches was significantly higher in patients with asthma, compared to healthy control subjects (p=0.001). There was a significant correlation between migraine-type headache and inhaled steroid use, and presence of allergies.Conclusion:Migraine-type and tension-type headaches are more common in patients with asthma, compared to the overall population. The frequency of migraine-type headache is higher in patients with asthma who have allergies and low respiratory function test scores.

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“…Other studies worldwide have also emphasized the prominent frequency of atopic disease in young migraineurs 7,8 , including allergic rhinitis, rhinoconjunctivitis and seasonal rhinitis 7 . A Turkish survey among children and adolescents complaining of headache demonstrated a higher prevalence of atopic disorders in migraine than in tension-type headache sufferers, as well as in migraine with aura patients than in those without aura 9 . Conversely, the prevalence of both headache and migraine in atopic children was found to be higher than expected in another study 10 .…”

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confidence: 99%

The influence of allergic rhinoconjunctivitis on migraine disability in children

Forcelini

Ramos

Santos

et al. 2019

Arq. Neuro-Psiquiatr.

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Migraine is a common condition in the pediatric population and causes a significant impact on the quality of life. Atopic disorders are some of the migraine comorbidities. Objective We hypothesized that allergic rhinitis could aggravate migraine in the pediatric population. Methods This cross-sectional study consecutively evaluated 90 pediatric outpatients (46 children 6–12 years of age; 44 adolescents up to 18 years of age) who sought medical assistance because of migraine at a general neurology clinic in Passo Fundo, RS, Brazil. They, and their parents, were given three questionnaires, to evaluate the diagnosis of current allergic rhinitis, allergic rhinoconjunctivitis and seasonal allergic rhinitis, as well as the disability caused by headache (ISAAC - International Study of Asthma and Allergies in Childhood; CARATkids - Control of Allergic Rhinitis and Asthma Test for Children; PedMIDAS - Pediatric Migraine Disability Assessment). The study was approved by the local ethics committee. Results According to the ISAAC questionnaire, children with current allergic rhinoconjunctivitis in the last year showed higher scores on the PedMIDAS than those patients without atopy (median and interquartile range 26 [10–58] vs. 5 [1–13], p = 0.008). A significant positive correlation of CARATkids scores with PedMIDAS scores was found (p = 0.007, rho = 0.39). After including other putative predictors of migraine disability (age, body mass index, time since onset of migraine) in a multiple regression analysis, only the scores on the CARATkids remained a significant independent variable correlated with PedMIDAS scores (p = 0.001; R = 0.55; R2 = 0.30). Conclusions Current allergic rhinoconjunctivitis is related to enhanced disability caused by headache in childhood migraine.

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Atopic disorders are more common in childhood migraine and correlated headache phenotype

Abstract: Although the International Classification of Headache Disorders, 2nd version, does not specify, atopic disorders should be suspected in all migraine patients and their relatives, not only for accurate diagnosis but also for planning prophylactic medications, such as β-blockers.

Cited by 29 publications

References 19 publications

Atopic Dermatitis in Israeli Adolescents from 1998 to 2013: Trends in Time and Association with Migraine

Atopic Dermatitis in Israeli Adolescents from 1998 to 2013: Trends in Time and Association with Migraine

Assessment of Headache in Asthma Patients

The influence of allergic rhinoconjunctivitis on migraine disability in children

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