Abstract

Objective: To evaluate the clinical, laboratory and capillaroscopic findings of pediatric patients with Raynaud’s phenomenon.

Material and Methods: Ninety-five pediatric patients who were diagnosed with Raynaud’s phenomenon between January 2014 and January 2021, were retrospectively examined. The demographic data, laboratory parameters and capillaroscopic findings of the patients were recorded. The capillaroscopic findings of the patients were classified as normal, nonspecific abnormalities and scleroderma pattern.

Result: In this study, 469 patients with acute urticaria were evaluated. The median (min-max) age of the patients was 7 years (2 months-18 years), and 48.8 % of them were male. Angioedema was accompanying in 20 % of the patients. Recurrent acute urticaria was seen in 33.5 % (n = 157) of the patients. In the history, infections were the triggers in 37.5 % (n=176) of the patients, drugs in 17.9 % (n=84), food in 10.9 % (n=51), insect bites in 3.2 % (n=15), and 0.2 % (n=1) of them had the vaccine. When the patients were evaluated with the medical histories, physical examination and laboratory findings; triggers could not be detected in 59 % (n=276) and these patients were diagnosed as idiopathic acute urticaria. Infections (37.5 %; n=176) were in the first place in patients with triggers. Food and drug allergies were confirmed in only one patient each. Considering the etiological distribution according to age groups, it was seen that idiopathic acute urticaria was more common in the 12-18 age group and infection-associated acute urticaria in the group under 2 years old (p=0.009).

Conclusion: Mostly, triggers cannot be found in children who apply to the allergy clinic due to acute urticaria. In patients who can be identified triggers, infections are in the first place. However, patients’ clinical histories may also include food or drug(s) as a suspected trigger, and it is important to evaluate these patients with diagnostic allergy tests. Thus, misdiagnosis of patients and unnecessary food or drug restrictions would be prevented.

Keywords: Antinuclear antibody, capillaroscopy, pediatric, Raynaud’s Phenomenon, rheumatology

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Copyright © 2023 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Sezer M, Çelikel E, Aydın F, Ekici Tekin Z, Kurt T, Tekgöz N, et al. Evaluation of Primary and Secondary Raynaud’s Phenomenon in Childhood. Turk J Pediatr Dis [Internet]. 2023 Jan. 30 [cited 2025 Aug. 23];17(1):7-12. Available from: https://turkjpediatrdis.org/article/view/998