[Is neonatal toxic erythema a risk factor in the development of allergy in childhood?].
OBJECTIVE
In relatively few cases have perinatal factors been included as risk factors for allergy development. Delivery has not been considered as a possible influential factor in allergy development. To identify risk factors in allergy development, we have included erythema toxicum neonatorum (ETN).


METHODS
We have prospectively studied 356 newborns that were followed for a period of two years. Characteristics of the delivery, such as the pregnancy, instrumental delivery, circular cord, ETN, number of vesicles, day of presentation, season of birth, maternal and cord blood IgE levels and cord blood eosinophils and the development allergies during the two year follow-up period were included.


RESULTS
ETN was seen in 25.3% of the children. The histopathology study of vesicles showed eosinophils. There was a significant difference between males and females (61.9% versus 38.1%, respectively). Cord blood IgE levels were not related to ETN, except in situations of allergy from 0.9 IU in cord blood or from 20 IU at six months of age (p < 0.05).


CONCLUSIONS
ETN is related to delivery characteristics, instrumental, circulars, amniotic alteration or fall in arterial pH < 7.24. In 84.2% of allergy manifestations during the first two years of life, ETN or a low pH was seen at birth, with atopic dermatitis being those that displayed ETN (85.7%).
González Echeverría
F
F
S. de Pediatría, Hospital Reina Sofía, Tudela, Navarra.
Martínez Rodríguez
J
J
Ancín Chandía
T
T
Córdoba Iturriaga
A
A
D004890:Erythema / Q000097:blood / Q000150:complications* / Q000276:immunology; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology*; D007073:Immunoglobulin E / Q000097:blood; D007231:Infant, Newborn; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors
D007073:Immunoglobulin E
Es el eritema tóxico neonatal un factor de riesgo en el desarrollo de la alergia en la infancia?