Background : Atopic disease is well known disease entity which occurs with concurrent various illness at infancy through adulthood periods. It is related to family history and family function. In view of biopsychosocial aspects, they also have focused on its importance of environmental factors. Therefore we carried out this study for the purpose of seeking preventive measures.
Methods : From April 1 to September 30 1993, 205 mothers of atopic patients who visited a local dermatologic clinic were selected and asked questions after then they answered our questions which are composed of patient's age, sex, family history, seasonal variations, aggravating factors, mother's age, education grade, separation experience, family APGAR score, etc.
Results : There were more male than female with male(53.2%) to female(46.8%) ratio of 1.1:1. The children between 0~3 age were 32.2% and age distribution was 0~20 age. Age distribution on patient's mother was 25~51 age, the most common group was high school-educated among age 3rd decades. As a result of the survey of family history, 54.6% of all cases had family history of allergic diseases. Atopic dermatitis was most common(29.8%), the next was urticaria(9.7%) followed by allergic rhinitis(7.8%), asthma(3.9%) and food allergy(3.4%). The 37% of patient's mother had hand eczema. The aggravating factors of atopic dermatitis were elevation of interior temperature and turning point of seasons. In atopic family, dysfunctional family was 40% and the rate of separation experience in Mother-Child Relationship according to family APGAR score was 16.1%.
Conclusion : This results shows that 54.6% of atopic patients had family history of allergic diseases. As an environmental factors, Mother-Child Relationship is important influence on onset, aggravation and prevention of atopic disease.