Evidence map›Paper›PMID 27294900›Full record

ArticleMolecules (Basel, Switzerland)2016

Hyper IgE in Childhood Eczema and Risk of Asthma in Chinese Children.

Chantel Ng, Kam Lun Hon, Jeng Sum Charmaine Kung, Nga Hin Pong, Ting-Fan Leung, Chun Kwok Wong

Open access · goldAbstract read
In one paragraph

Article in Molecules (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Italian pediatric experts' consensus statement on diagnosis and management of primary atopic disorders.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Guideline
  2. Neutrophils in Atopic Dermatitis.Clinical reviews in allergy & immunology · 2024
    Review
  3. Article
  4. Immunomodulation Effects ofEvidence-based complementary and alternative medicine : eCAM · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 2 countries.

Chantel NgDepartment of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. chantel_ng@yahoo.com.
Kam Lun HonDepartment of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. ehon@hotmail.com.
Jeng Sum Charmaine KungDepartment of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. jsckung@gmail.com.
Nga Hin PongDepartment of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. b688755@mailserv.cuhk.edu.hk.
Ting-Fan LeungDepartment of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. tfleung@cuhk.edu.hk.
Chun Kwok WongInstitute of Chinese Medicine, The Chinese University of Hong Kong, Hong Kong, China. ck-wong@cuhk.edu.hk.
Chinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic eczema is a common childhood disease associated with high IgE and eosinophilia. We characterized the clinical features associated with hyper-IgE (defined as IgE > 2000 IU/L) in eczema.

methodsNottingham Eczema Severity Score (NESS), family and personal history of atopy, skin prick test (SPT) for common food and aeroallergens, highest serum IgE ever and eosinophil counts were evaluated in 330 children eczema patients. Childhood-NESS (NESS performed at <10 years of age) and adolescent-NESS (NESS performed at >10 years of age) were further analyzed.

resultsIgE correlated with NESS (spearman coefficient 0.35, p < 0.001) and eosinophil percentage (spearman coefficient 0.56, p = 0.001). Compared with IgE ≤ 2000IU/L (n = 167), patients with hyper-IgE (n = 163) were associated with male gender (p = 0.002); paternal atopy (p = 0.026); personal history of atopic rhinitis (p = 0.016); asthma (p < 0.001); dietary avoidance (p < 0.001); use of wet wrap (p < 0.001); traditional Chinese medicine use (TCM, p < 0.001); immunomodulant use (azathioprine or cyclosporine, p < 0.001); skin prick sensitization by dust mites (p < 0.001), cats (p = 0.012), dogs (p = 0.018), food (p = 0.002); eosinophilia (p < 0.001); more severe disease during childhood (p < 0.0001) and during adolescence (p < 0.0001), but not onset age of eczema or maternal atopy. Logistic regression showed that hyper-IgE was associated with personal history of asthma (exp(B) = 5.12, p = 0.002) and eczema severity during childhood and adolescence (p < 0.001). For patients <10 years of age, dust mite sensitization (p = 0.008) was associated with hyper-IgE. For patients >10years of age, food allergen sensitization was associated with hyper-IgE (p = 0.008).

conclusionsHyper-IgE is independently associated with asthma, more severe atopy and more severe eczema during childhood and adolescence. IgE > 2000 IU/L may be a tool to aid prognostication of this chronic relapsing dermatologic disease and its progression to asthma.

Indexed as

AllergensAsthmaChildChild, PreschoolChinaEczemaEosinophilsFemaleHumansHypersensitivity, ImmediateImmunoglobulin EJob SyndromeLogistic ModelsMalePrognosisAllergensImmunoglobulin Eatopic dermatitisatopyeczemaNESSprognosisseverity

Identifiers

PMID27294900
PMCPMC6274365
OpenAlexW2411308085

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.