Epidemiology of Demyelinating Diseases in Korean Pediatric Patients

Hye Hyun Yoon1, Ji Young Park1, Su Yeong Kim1

  • 1Department of Pediatrics, 65542Chung-Ang University Hospital, Seoul, Korea.

Journal of Child Neurology
|September 29, 2020
PubMed

Insights

This study reveals the first comprehensive epidemiology of pediatric demyelinating diseases in South Korea. Guillain-Barré syndrome was most common, with seasonal and regional variations observed in children.

Area of Science:

  • Pediatric Neurology
  • Epidemiology
  • Demyelinating Diseases

Background:

  • Epidemiological data on pediatric demyelinating diseases in Korea is lacking.
  • Demyelinating diseases can significantly impact child health and development.

Purpose of the Study:

  • To determine the incidence and characteristics of pediatric demyelinating diseases in South Korea.
  • To analyze the epidemiology of acute-disseminated encephalomyelitis, multiple sclerosis, neuromyelitis optica, and Guillain-Barré syndrome in children.

Main Methods:

  • Utilized big data from the Korean Health Insurance Review and Assessment Service (HIRA).
  • Analyzed records of children aged 0-17 diagnosed between January 2010 and December 2017.
  • Examined disease prevalence, sex ratios, seasonality, and regional distribution.

Main Results:

  • 1722 children were included: 54.1% Guillain-Barré syndrome, 32.1% acute-disseminated encephalomyelitis, 9.9% multiple sclerosis, 3.9% neuromyelitis optica.
  • Male-female ratios varied by disease: higher in ADEM and GBS, lower in MS and NMO.
  • Peak prevalence occurred in summer, with significant regional differences noted, particularly in Seoul and Gyeonggi.

Conclusions:

  • This is the first study to report the incidence of pediatric demyelinating diseases in South Korea.
  • Findings highlight the importance of considering demographic, seasonal, and regional factors in pediatric demyelinating disease epidemiology.
  • Establishes a baseline for future research and public health strategies in Korea.