Epidemiology of urticaria including physical urticaria and angioedema in Korea.

Epidemiology of urticaria including physical urticaria and angioedema in Korea.
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DOI:
10.3904/kjim.2017.203
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发表时间:
2019-03
期刊:
The Korean journal of internal medicine
影响因子:
--
通讯作者:
Kwon JW
Kwon JW
中科院分区:
其他
文献类型:
--
作者:
Seo JH;Kwon JW

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尽管荨麻疹的高负担和频率,其流行病学并不为人所知。我们调查了韩国各种类型荨麻疹的流行病学及其5年来年度患病率的变化。我们使用了2010年至2014年健康保险审查和评估数据库的数据,该数据库涵盖了97.0%的韩国人口的索赔。年龄> 10岁的患者包括在本研究中。使用国际疾病分类第10版(ICD-10)代码,包括各种类型的荨麻疹(L500-L509)和血管性水肿(T783),在医生认证的诊断中确定荨麻疹的存在。调查各型荨麻疹、物理性荨麻疹和血管性水肿的流行病学。5年内所有类型荨麻疹的患病率为4.5%,在30至59岁的个体中达到峰值,尤其是女性。所有类型荨麻疹的年龄特异性患病率随年龄从10- 19岁年龄组增加到70- 79岁年龄组。皮肤划痕症、胆碱能性荨麻疹和血管性水肿的患病率分别为0.12%、0.025%和0.027%。胆碱能性荨麻疹在10 - 29岁人群中最常见,男性占优势。所有类型的荨麻疹,皮肤划痕症和血管性水肿的年患病率在5年内增加。在韩国,荨麻疹的患病率每年都在增加。胆碱能性荨麻疹在其年龄和性别上显示出独特的分布,血管性水肿的年患病率显着增加,尽管患病率估计仍是探索性的,基于ICD-10编码的荨麻疹诊断需要验证。
Despite the high burden and frequency of urticaria, its epidemiology is not well known. We investigated the epidemiology of various type of urticaria in Korea and changes in its annual prevalence over 5 years. We used data from the 2010 to 2014 Health Insurance Review and Assessment database, which covers the claims of 97.0% of the South Korean population. Patients aged > 10 years old were included in this study. The presence of urticaria was identified on physician-certified diagnoses using the International Classification of Diseases 10th Revision (ICD-10) codes that include various type of urticaria (L500–L509) and angioedema (T783). Epidemiology of all type of urticaria, physical urticaria and angioedema were investigated. The prevalence of all-type urticaria over the 5 years was 4.5% with a peak in individuals, especially females, aged 30 to 59 years. The age-specific prevalence of all-type urticaria increased with age from the 10- to 19-year age group to the 70- to 79-year age group. The prevalence of dermographism, cholinergic urticaria, and angioedema were 0.12%, 0.025%, and 0.027%, respectively. Cholinergic urticaria was most prevalent in those aged 10 to 29 years with male predominance. The annual prevalence of all-type urticaria, dermographism, and angioedema increased over the 5 years. The prevalence of urticaria has increased annually in Korea. Cholinergic urticaria showed unique distribution in its age and gender, and angioedema showed remarkable increases in annual prevalence, although the prevalence estimation is still exploratory and diagnosis of urticaria based on ICD-10 codes need to be validated.
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