Objectives: To test the hypothesis that childhood acute lymphoblastic leuke
mia (ALL) is associated with allergic disorders.
Methods: We compared the histories of selected allergic disorders (asthma,
hay fever, food or drug allergies, eczema, and hives) of 1842 cases of ALL
with those of 1986 individually matched controls. The histories of the alle
rgic disorders among siblings of cases and controls were also compared.
Results: The combined history of any one or more of the five allergic disor
ders evaluated was associated with a significant reduced risk of ALL (adjus
ted OR = 0.7, 95% CI 0.6-0.8), as were hhistories of four specific allergic
disorders (asthma, hay fever, food or drug allergies, and eczema). The com
bined history of any one or more of the five allergic disorders among any o
f the siblings of the study subjects also revealed a significantly inverse
association (adjusted OR = 0.9, 95% CI 0.8-1.0).
Conclusion: The results from this study, in agreement with most previous st
udies on adult cancer, suggest that allergic disorders may be associated wi
th a reduced risk of childhood ALL.