Skip to main content
Top
Published in: BMC Dermatology 1/2011

Open Access 01-12-2011 | Research article

Family eczema-history in 2-year olds with eczema; a prospective, population-based study. The PACT-study, Norway

Authors: Marit Saunes, Torbjørn Øien, Ola Storrø, Roar Johnsen

Published in: BMC Dermatology | Issue 1/2011

Login to get access

Abstract

Background

A maternal line of inheritance regarding eczema has been described in several studies, whereas others find associations to both a maternal as well as a paternal line of inheritance. When studying family history of eczema symptoms, cohort studies including siblings are rare. Time point for assessing family eczema-history could be of importance when studying the associations between family eczema-history and children with eczema, as parents with unaffected children may not recall mild symptoms in other siblings or their own disease history. We therefore aimed to study the associations between reported eczema in mother, father and siblings and reported eczema in index child where information on family history was collected at two different ages of index child.

Methods

Parents/children participating in The Prevention of Allergy among Children in Trondheim (PACT) study were given questionnaires on reported eczema symptoms in mother, father and siblings at 6 weeks and 1 year. When index child was 2 years of age, a detailed questionnaire on different health issues with emphasize on different allergy related disorders were filled in.

Results

Both maternal and paternal reports on eczema were significantly associated with eczema in index child. Reporting family eczema-history at 1 year (N = 3087), "eczema sibling only" [adjusted odds ratio (aOR) = 3.13 (2.27-4.33)] as well as all other family-groups containing siblings with eczema were strongly associated with eczema 2 years. When family eczema-history was reported at 6 weeks (N = 2657), reporting of "eczema sibling only" was not associated to reported eczema at 2 years in index child [aOR = 1.31 (0.77-2.23)].

Conclusions

Having sibling(s) with eczema strengthened the associations between maternal and paternal reports on eczema with eczema in index child only when exposure was reported at 1 year. These findings indicate that results from questionnaires-based studies of family eczema-history depend on whether or not index child has yet developed eczema.

Trial registration

Literature
2.
go back to reference Schultz Larsen FV, Holm NV: Atopic dermatitis in a population based twin series. Concordance rates and heritability estimation. Acta Derm Venereol Suppl (Stockh) 1985, 114: 159. Schultz Larsen FV, Holm NV: Atopic dermatitis in a population based twin series. Concordance rates and heritability estimation. Acta Derm Venereol Suppl (Stockh) 1985, 114: 159.
3.
go back to reference Ruiz RG, Kemeny DM, Price JF: Higher risk of infantile atopic dermatitis from maternal atopy than from paternal atopy. Clin Exp Allergy 1992, 22(8):762–766. 10.1111/j.1365-2222.1992.tb02816.xCrossRefPubMed Ruiz RG, Kemeny DM, Price JF: Higher risk of infantile atopic dermatitis from maternal atopy than from paternal atopy. Clin Exp Allergy 1992, 22(8):762–766. 10.1111/j.1365-2222.1992.tb02816.xCrossRefPubMed
4.
go back to reference Dold S, Wjst M, von Mutius E, Reitmeir P, Stiepel E: Genetic risk for asthma, allergic rhinitis, and atopic dermatitis. Arch Dis Child 1992, 67(8):1018–1022. 10.1136/adc.67.8.1018CrossRefPubMedPubMedCentral Dold S, Wjst M, von Mutius E, Reitmeir P, Stiepel E: Genetic risk for asthma, allergic rhinitis, and atopic dermatitis. Arch Dis Child 1992, 67(8):1018–1022. 10.1136/adc.67.8.1018CrossRefPubMedPubMedCentral
5.
go back to reference Diepgen TL, Blettner M: Analysis of familial aggregation of atopic eczema and other atopic diseases by ODDS RATIO regression models. J Invest Dermatol 1996, 106(5):977–981. 10.1111/1523-1747.ep12338475CrossRefPubMed Diepgen TL, Blettner M: Analysis of familial aggregation of atopic eczema and other atopic diseases by ODDS RATIO regression models. J Invest Dermatol 1996, 106(5):977–981. 10.1111/1523-1747.ep12338475CrossRefPubMed
6.
go back to reference Wang IJ, Guo YL, Hwang KC, Hsieh WS, Chuang YL, Lin SJ, Chen PC: Genetic and environmental predictors for pediatric atopic dermatitis. Acta Paediatr Taiwan 2006, 47(5):238–242.PubMed Wang IJ, Guo YL, Hwang KC, Hsieh WS, Chuang YL, Lin SJ, Chen PC: Genetic and environmental predictors for pediatric atopic dermatitis. Acta Paediatr Taiwan 2006, 47(5):238–242.PubMed
7.
go back to reference Bisgaard H, Halkjaer LB, Hinge R, Giwercman C, Palmer C, Silveira L, Strand M: Risk analysis of early childhood eczema. J Allergy Clin Immunol 2009, 123(6):1355–1360. e1355 10.1016/j.jaci.2009.03.046CrossRefPubMed Bisgaard H, Halkjaer LB, Hinge R, Giwercman C, Palmer C, Silveira L, Strand M: Risk analysis of early childhood eczema. J Allergy Clin Immunol 2009, 123(6):1355–1360. e1355 10.1016/j.jaci.2009.03.046CrossRefPubMed
8.
go back to reference Wadonda-Kabondo N, Sterne JA, Golding J, Kennedy CT, Archer CB, Dunnill MG: Association of parental eczema, hayfever, and asthma with atopic dermatitis in infancy: birth cohort study. Arch Dis Child 2004, 89(10):917–921. 10.1136/adc.2003.034033CrossRefPubMedPubMedCentral Wadonda-Kabondo N, Sterne JA, Golding J, Kennedy CT, Archer CB, Dunnill MG: Association of parental eczema, hayfever, and asthma with atopic dermatitis in infancy: birth cohort study. Arch Dis Child 2004, 89(10):917–921. 10.1136/adc.2003.034033CrossRefPubMedPubMedCentral
9.
go back to reference Bohme M, Wickman M, Lennart Nordvall S, Svartengren M, Wahlgren CF: Family history and risk of atopic dermatitis in children up to 4 years. Clin Exp Allergy 2003, 33(9):1226–1231. 10.1046/j.1365-2222.2003.01749.xCrossRefPubMed Bohme M, Wickman M, Lennart Nordvall S, Svartengren M, Wahlgren CF: Family history and risk of atopic dermatitis in children up to 4 years. Clin Exp Allergy 2003, 33(9):1226–1231. 10.1046/j.1365-2222.2003.01749.xCrossRefPubMed
10.
go back to reference Zutavern A, Hirsch T, Leupold W, Weiland S, Keil U, von Mutius E: Atopic dermatitis, extrinsic atopic dermatitis and the hygiene hypothesis: results from a cross-sectional study. Clin Exp Allergy 2005, 35(10):1301–1308. 10.1111/j.1365-2222.2005.02350.xCrossRefPubMed Zutavern A, Hirsch T, Leupold W, Weiland S, Keil U, von Mutius E: Atopic dermatitis, extrinsic atopic dermatitis and the hygiene hypothesis: results from a cross-sectional study. Clin Exp Allergy 2005, 35(10):1301–1308. 10.1111/j.1365-2222.2005.02350.xCrossRefPubMed
11.
go back to reference Morar N, Willis-Owen SA, Moffatt MF, Cookson WO: The genetics of atopic dermatitis. J Allergy Clin Immunol 2006, 118(1):24–34. quiz 35–26 10.1016/j.jaci.2006.03.037CrossRefPubMed Morar N, Willis-Owen SA, Moffatt MF, Cookson WO: The genetics of atopic dermatitis. J Allergy Clin Immunol 2006, 118(1):24–34. quiz 35–26 10.1016/j.jaci.2006.03.037CrossRefPubMed
12.
go back to reference O'Regan GM, Sandilands A, McLean WH, Irvine AD: Filaggrin in atopic dermatitis. J Allergy Clin Immunol 2009, 124(3 Suppl 2):R2–6.CrossRefPubMed O'Regan GM, Sandilands A, McLean WH, Irvine AD: Filaggrin in atopic dermatitis. J Allergy Clin Immunol 2009, 124(3 Suppl 2):R2–6.CrossRefPubMed
14.
go back to reference Karmaus W, Botezan C: Does a higher number of siblings protect against the development of allergy and asthma? A review. J Epidemiol Community Health 2002, 56(3):209–217. 10.1136/jech.56.3.209CrossRefPubMedPubMedCentral Karmaus W, Botezan C: Does a higher number of siblings protect against the development of allergy and asthma? A review. J Epidemiol Community Health 2002, 56(3):209–217. 10.1136/jech.56.3.209CrossRefPubMedPubMedCentral
15.
go back to reference Kjellman NI: Atopic disease in seven-year-old children. Incidence in relation to family history. Acta Paediatr Scand 1977, 66(4):465–471. 10.1111/j.1651-2227.1977.tb07928.xCrossRefPubMed Kjellman NI: Atopic disease in seven-year-old children. Incidence in relation to family history. Acta Paediatr Scand 1977, 66(4):465–471. 10.1111/j.1651-2227.1977.tb07928.xCrossRefPubMed
16.
go back to reference Kulig M, Bergmann R, Edenharter G, Wahn U: Does allergy in parents depend on allergy in their children? Recall bias in parental questioning of atopic diseases. Multicenter Allergy Study Group. J Allergy Clin Immunol 2000, 105(2 Pt 1):274–278.CrossRefPubMed Kulig M, Bergmann R, Edenharter G, Wahn U: Does allergy in parents depend on allergy in their children? Recall bias in parental questioning of atopic diseases. Multicenter Allergy Study Group. J Allergy Clin Immunol 2000, 105(2 Pt 1):274–278.CrossRefPubMed
17.
go back to reference Moberg C, Meding B, Stenberg B, Svensson A, Lindberg M: Remembering childhood atopic dermatitis as an adult: factors that influence recollection. Br J Dermatol 2006, 155(3):557–560. 10.1111/j.1365-2133.2006.07372.xCrossRefPubMed Moberg C, Meding B, Stenberg B, Svensson A, Lindberg M: Remembering childhood atopic dermatitis as an adult: factors that influence recollection. Br J Dermatol 2006, 155(3):557–560. 10.1111/j.1365-2133.2006.07372.xCrossRefPubMed
18.
go back to reference Naleway AL, Belongia EA, Greenlee RT, Kieke BA Jr, Chen RT, Shay DK: Eczematous skin disease and recall of past diagnoses: implications for smallpox vaccination. Ann Intern Med 2003, 139(1):1–7.CrossRefPubMed Naleway AL, Belongia EA, Greenlee RT, Kieke BA Jr, Chen RT, Shay DK: Eczematous skin disease and recall of past diagnoses: implications for smallpox vaccination. Ann Intern Med 2003, 139(1):1–7.CrossRefPubMed
19.
go back to reference Storro O, Oien T, Dotterud CK, Jenssen JA, Johnsen R: A primary health-care intervention on pre- and postnatal risk factor behavior to prevent childhood allergy. The Prevention of Allergy among Children in Trondheim (PACT) study. BMC Public Health 2010., 10(443): Storro O, Oien T, Dotterud CK, Jenssen JA, Johnsen R: A primary health-care intervention on pre- and postnatal risk factor behavior to prevent childhood allergy. The Prevention of Allergy among Children in Trondheim (PACT) study. BMC Public Health 2010., 10(443):
20.
go back to reference Oien T, Storro O, Johnsen R: Assessing atopic disease in children two to six years old: reliability of a revised questionnaire. Prim Care Respir J 2008, 17(3):164–168. 10.3132/pcrj.2008.00023CrossRefPubMed Oien T, Storro O, Johnsen R: Assessing atopic disease in children two to six years old: reliability of a revised questionnaire. Prim Care Respir J 2008, 17(3):164–168. 10.3132/pcrj.2008.00023CrossRefPubMed
21.
go back to reference Smidesang I, Saunes M, Storro O, Oien T, Holmen TL, Johnsen R, Henriksen AH: Atopic dermatitis among 2-year olds; high prevalence, but predominantly mild disease--the PACT study, Norway. Pediatr Dermatol 2008, 25(1):13–18. 10.1111/j.1525-1470.2007.00574.xCrossRefPubMed Smidesang I, Saunes M, Storro O, Oien T, Holmen TL, Johnsen R, Henriksen AH: Atopic dermatitis among 2-year olds; high prevalence, but predominantly mild disease--the PACT study, Norway. Pediatr Dermatol 2008, 25(1):13–18. 10.1111/j.1525-1470.2007.00574.xCrossRefPubMed
22.
go back to reference Johnke H, Vach W, Norberg LA, Bindslev-Jensen C, Host A, Andersen KE: A comparison between criteria for diagnosing atopic eczema in infants. Br J Dermatol 2005, 153(2):352–358. 10.1111/j.1365-2133.2005.06491.xCrossRefPubMed Johnke H, Vach W, Norberg LA, Bindslev-Jensen C, Host A, Andersen KE: A comparison between criteria for diagnosing atopic eczema in infants. Br J Dermatol 2005, 153(2):352–358. 10.1111/j.1365-2133.2005.06491.xCrossRefPubMed
23.
go back to reference Williams HC: Epidemiology of atopic dermatitis. Clin Exp Dermatol 2000, 25(7):522–529. 10.1046/j.1365-2230.2000.00698.xCrossRefPubMed Williams HC: Epidemiology of atopic dermatitis. Clin Exp Dermatol 2000, 25(7):522–529. 10.1046/j.1365-2230.2000.00698.xCrossRefPubMed
24.
go back to reference Godfrey K: Fetal and perinatal origins of atopic dermatitis. In Atopic dermatitis. Edited by: Williams HC. Cambridge: Cambridge University Press; 2000:125–138.CrossRef Godfrey K: Fetal and perinatal origins of atopic dermatitis. In Atopic dermatitis. Edited by: Williams HC. Cambridge: Cambridge University Press; 2000:125–138.CrossRef
25.
go back to reference Wen HJ, Chen PC, Chiang TL, Lin SJ, Chuang YL, Guo YL: Predicting risk for early infantile atopic dermatitis by hereditary and environmental factors. Br J Dermatol 2009, 161(5):1166–1172. 10.1111/j.1365-2133.2009.09412.xCrossRefPubMed Wen HJ, Chen PC, Chiang TL, Lin SJ, Chuang YL, Guo YL: Predicting risk for early infantile atopic dermatitis by hereditary and environmental factors. Br J Dermatol 2009, 161(5):1166–1172. 10.1111/j.1365-2133.2009.09412.xCrossRefPubMed
26.
go back to reference Litonjua AA, Carey VJ, Burge HA, Weiss ST, Gold DR: Parental history and the risk for childhood asthma. Does mother confer more risk than father? Am J Respir Crit Care Med 1998, 158(1):176–181.CrossRefPubMed Litonjua AA, Carey VJ, Burge HA, Weiss ST, Gold DR: Parental history and the risk for childhood asthma. Does mother confer more risk than father? Am J Respir Crit Care Med 1998, 158(1):176–181.CrossRefPubMed
27.
go back to reference Brown SJ, Relton CL, Liao H, Zhao Y, Sandilands A, McLean WH, Cordell HJ, Reynolds NJ: Filaggrin haploinsufficiency is highly penetrant and is associated with increased severity of eczema: further delineation of the skin phenotype in a prospective epidemiological study of 792 school children. Br J Dermatol 2009, 161(4):884–889. 10.1111/j.1365-2133.2009.09339.xCrossRefPubMedPubMedCentral Brown SJ, Relton CL, Liao H, Zhao Y, Sandilands A, McLean WH, Cordell HJ, Reynolds NJ: Filaggrin haploinsufficiency is highly penetrant and is associated with increased severity of eczema: further delineation of the skin phenotype in a prospective epidemiological study of 792 school children. Br J Dermatol 2009, 161(4):884–889. 10.1111/j.1365-2133.2009.09339.xCrossRefPubMedPubMedCentral
28.
go back to reference Palmer CN, Irvine AD, Terron-Kwiatkowski A, Zhao Y, Liao H, Lee SP, Goudie DR, Sandilands A, Campbell LE, Smith FJ, O'Regan GM, Watson RM, Cecil JE, Bale SJ, Compton JG, DiGiovanna JJ, Fleckman P, Lewis-Jones S, Arseculeratne G, Sergeant A, Munro CS, El Houate B, McElreavey K, Halkjaer LB, Bisgaard H, Mukhopadhyay S, McLean WH: Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet 2006, 38(4):441–446. 10.1038/ng1767CrossRefPubMed Palmer CN, Irvine AD, Terron-Kwiatkowski A, Zhao Y, Liao H, Lee SP, Goudie DR, Sandilands A, Campbell LE, Smith FJ, O'Regan GM, Watson RM, Cecil JE, Bale SJ, Compton JG, DiGiovanna JJ, Fleckman P, Lewis-Jones S, Arseculeratne G, Sergeant A, Munro CS, El Houate B, McElreavey K, Halkjaer LB, Bisgaard H, Mukhopadhyay S, McLean WH: Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet 2006, 38(4):441–446. 10.1038/ng1767CrossRefPubMed
29.
go back to reference Ekelund E, Lieden A, Link J, Lee SP, D'Amato M, Palmer CN, Kockum I, Bradley M: Loss-of-function variants of the filaggrin gene are associated with atopic eczema and associated phenotypes in Swedish families. Acta Derm Venereol 2008, 88(1):15–19. 10.2340/00015555-0383CrossRefPubMed Ekelund E, Lieden A, Link J, Lee SP, D'Amato M, Palmer CN, Kockum I, Bradley M: Loss-of-function variants of the filaggrin gene are associated with atopic eczema and associated phenotypes in Swedish families. Acta Derm Venereol 2008, 88(1):15–19. 10.2340/00015555-0383CrossRefPubMed
30.
go back to reference Bisgaard H, Simpson A, Palmer CN, Bonnelykke K, McLean I, Mukhopadhyay S, Pipper CB, Halkjaer LB, Lipworth B, Hankinson J, Woodcock A, Custovic A: Gene-environment interaction in the onset of eczema in infancy: filaggrin loss-of-function mutations enhanced by neonatal cat exposure. PLoS Med 2008, 5(6):e131. 10.1371/journal.pmed.0050131CrossRefPubMedPubMedCentral Bisgaard H, Simpson A, Palmer CN, Bonnelykke K, McLean I, Mukhopadhyay S, Pipper CB, Halkjaer LB, Lipworth B, Hankinson J, Woodcock A, Custovic A: Gene-environment interaction in the onset of eczema in infancy: filaggrin loss-of-function mutations enhanced by neonatal cat exposure. PLoS Med 2008, 5(6):e131. 10.1371/journal.pmed.0050131CrossRefPubMedPubMedCentral
31.
go back to reference Illi S, von Mutius E, Lau S, Nickel R, Gruber C, Niggemann B, Wahn U: The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. J Allergy Clin Immunol 2004, 113(5):925–931. 10.1016/j.jaci.2004.01.778CrossRefPubMed Illi S, von Mutius E, Lau S, Nickel R, Gruber C, Niggemann B, Wahn U: The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. J Allergy Clin Immunol 2004, 113(5):925–931. 10.1016/j.jaci.2004.01.778CrossRefPubMed
32.
go back to reference Stenberg B, Lindberg M, Meding B, Svensson A: Is the question 'Have you had childhood eczema?' useful for assessing childhood atopic eczema in adult population surveys? Contact Dermatitis 2006, 54(6):334–337. 10.1111/j.0105-1873.2006.00851.xCrossRefPubMed Stenberg B, Lindberg M, Meding B, Svensson A: Is the question 'Have you had childhood eczema?' useful for assessing childhood atopic eczema in adult population surveys? Contact Dermatitis 2006, 54(6):334–337. 10.1111/j.0105-1873.2006.00851.xCrossRefPubMed
33.
go back to reference Alm B, Aberg N, Erdes L, Mollborg P, Pettersson R, Norvenius SG, Goksor E, Wennergren G: Early introduction of fish decreases the risk of eczema in infants. Arch Dis Child 2009, 94(1):11–15. 10.1136/adc.2008.140418CrossRefPubMed Alm B, Aberg N, Erdes L, Mollborg P, Pettersson R, Norvenius SG, Goksor E, Wennergren G: Early introduction of fish decreases the risk of eczema in infants. Arch Dis Child 2009, 94(1):11–15. 10.1136/adc.2008.140418CrossRefPubMed
Metadata
Title
Family eczema-history in 2-year olds with eczema; a prospective, population-based study. The PACT-study, Norway
Authors
Marit Saunes
Torbjørn Øien
Ola Storrø
Roar Johnsen
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Dermatology / Issue 1/2011
Electronic ISSN: 1471-5945
DOI
https://doi.org/10.1186/1471-5945-11-11

Other articles of this Issue 1/2011

BMC Dermatology 1/2011 Go to the issue