CYCLICAL VOMITING SYNDROME IN CHILDREN - A POPULATION-BASED STUDY

被引:120
作者
ABUARAFEH, I [1 ]
RUSSELL, G [1 ]
机构
[1] UNIV ABERDEEN,CHILDRENS HOSP,DEPT MED PAEDIAT,ABERDEEN AB9 2ZD,SCOTLAND
关键词
CYCLICAL VOMITING; MIGRAINE; PERIODIC SYNDROME; EPIDEMIOLOGY;
D O I
10.1097/00005176-199511000-00014
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We studied the prevalence and the characteristic features of cyclical vomiting syndrome (CVS) in the defined childhood population of the City of Aberdeen, in Scotland. Initial screening was done by questionnaire in 10% of all children between 5 and 15 years of age (2,165 children) attending schools in Aberdeen, followed by clinical interviews of symptomatic children. We invited for clinical interview 69 children (3.9%) with a history of unexplained vomiting; 46 (67%) attended. Of them, 34 fulfilled the criteria for the diagnosis of CVS (prevalence rate, 1.9%). Children with CVS had a mean age of 9.6 years and a mean age at onset of symptoms of 5.3 years (range, 1-13). The overall sex ratio was 1:1, although in younger children boys were more commonly affected than girls. Seven children (21%) also suffered from migraine, 10 (29%) from travel sickness, and 10 (29%) from atopic diseases. The attacks of vomiting occurred on average eight times per year, with a mean duration of 20 h. Travel was a frequent precipitating factor. Attacks were commonly associated with pallor, anorexia, and malaise and were often relieved by rest and sleep. The clinical features of CVS overlapped to a large extent with those of migraine, suggesting a common pathogenesis. Features common to both conditions included trigger factors, associated GI, sensory, and vasomotor symptoms, and factors that relieved attacks. There was also an association between CVS and headache, abdominal pain, atopic diseases, and travel sickness.
引用
收藏
页码:454 / 458
页数:5
相关论文
共 19 条
[1]   PREVALENCE OF HEADACHE AND MIGRAINE IN SCHOOLCHILDREN [J].
ABUAREFEH, I ;
RUSSELL, G .
BRITISH MEDICAL JOURNAL, 1994, 309 (6957) :765-769
[2]   PERIODIC SYNDROME - ITS NATURE AND PREVALENCE [J].
CULLEN, KJ ;
MACDONALD, WB .
MEDICAL JOURNAL OF AUSTRALIA, 1963, 2 (05) :167-&
[3]   THE CYCLIC VOMITING SYNDROME - A REPORT OF 71 CASES AND LITERATURE-REVIEW [J].
FLEISHER, DR ;
MATAR, M .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1993, 17 (04) :361-369
[4]  
GARDNER S, 1989, CONFIDENCE INTERVAL
[5]  
Gee S., 1882, ST BARTHOLOMEWS HOSP, V18, P1
[6]  
HAMILTON CKJ, 1951, P ROY SOC MED, V44, P27
[7]  
HAMMOND J, 1974, DEV MED CHILD NEUROL, V16, P15
[8]  
HOYT CS, 1960, PEDIATRICS, V25, P775
[9]  
HUNT TC, 1930, LANCET, P1001
[10]   THE PERIODIC SYNDROME [J].
KEMPTON, JJ .
BMJ-BRITISH MEDICAL JOURNAL, 1956, 1 (JAN14) :83-86