Allergic rhinitis management pocket reference 2008*

Bousquet, Jean; Reid, Jim; Weel, Chris van; Cagnani, C. Baena; Canonica, Giorgio Walter; Demoly, Pascal; Denburg, Judah A.; Fokkens, W. J.; Grouse, L.; Mullol, K.; Ohta, Ken; Schermer, Tjard; Valovirta, Erkka; Zhong, Nanshan; Zuberbier, Torsten

doi:10.1111/j.1398-9995.2008.01642.x

Cited by 151 publications

(118 citation statements)

References 1 publication

Supporting

Mentioning

112

Contrasting

Unclassified

Order By: Relevance

“…Considering that patients with moderate to severe rhinitis are more likely to have concomitant asthma (20), this observation is not surprising since the study population mostly consisted of patients with moderate to severe rhinitis.…”

Section: Discussionmentioning

confidence: 87%

Characteristics of Patients with Respiratory Allergy in France and Factors Influencing Immunotherapy Prescription: A Prospective Observational Study (Realis)

Migueres

Fontaine

Haddad³

et al. 2011

Int J Immunopathol Pharmacol

View full text Add to dashboard Cite

To describe the sensitization profile of respiratory allergies in France, identifying factors influencing the prescription of allergen immunotherapy (AIT) [Transversal phase (T»), and assess treatment efficacy, tolerability, compliance and satisfaction [Longitudinal phase (L»). French allergists (600) and pneumo-allergists (600) were offered participation and asked to recruit the first 20 new patients with allergic rhinitis (AR) and/or asthma, consulting for a first time allergy check-up with skin prick-test (T), and 5 patients sensitized to pollens (skin test and/or specific IgE) for whom SLIT with pollens was prescribed (L). In the T phase, 2,714 patients were recruited by 169 specialists, mostly allergists (76.5%). The majority (98%) suffered fromAR, alone (57.7%) or with asthma (40.3%) and 80.3% suffered from moderate-to-severe rhinitis, mostly persistent (65.8%). Asthma, when present, was mostly intermittent (63.7%) or mild persistent (20.1%). Sensitization to house dust mites was the most common (64.5%), followed by grass pollens (61.5%), tree pollens (41.6%) and cat danders (30.5%). Poly-sensitization was seen in 73.6% of patients. AIT, mostly sublingual, was recommended in 55.6% of the patients, mostly (78.1%) because of insufficient control with symptomatic treatments. The overall impact of symptoms on QOL, positive skin test to grass pollens, ocular pruritus and/or nasal obstruction and moderateto-severe rhinitis were significant predictors of SLIT prescription. Poly-sensitization or concomitant asthma were not seen as deterrents. Most patients consulting a specialist for allergy testing suffer from moderate-to-severe rhinitis. Treatment in current practice includes immunotherapy in half of the patients, and follows ARIA recommendations.Allergic rhinitis (AR) represents a global health, problem affecting 10% to 20% of the population (I). In Western Europe it is estimated that around 20% of the general population suffer from allergic rhinitis (2-3). Many patients with rhinitis also suffer from asthma (4-5).Exposure to ihhaled allergens and genetic predisposition have been recognized as important

show abstract

Section: Discussionmentioning

confidence: 87%

Characteristics of Patients with Respiratory Allergy in France and Factors Influencing Immunotherapy Prescription: A Prospective Observational Study (Realis)

Migueres

Fontaine

Haddad³

et al. 2011

Int J Immunopathol Pharmacol

View full text Add to dashboard Cite

show abstract

“…Underdiagnosis of AR is an area that has been recognized for further guideline-based education. Although an available Pocket Reference for Primary Care Providers 4,27 and written Rhinitis Action Plans exist 1 and have been disseminated widely, they still need to be emphasized in urban areas.…”

Section: Education Is Needed For Both Healthcare Providers and Familiesmentioning

confidence: 99%

Underdiagnosed and Undertreated Allergic Rhinitis in Urban School-Aged Children with Asthma

Esteban

Klein

Kopel

et al. 2014

Pediatric Allergy, Immunology, and Pulmonology

View full text Add to dashboard Cite

Allergic rhinitis (AR) is a risk factor for the development of asthma, and if poorly controlled, it may exacerbate asthma. We sought to describe AR symptoms and treatment in a larger study about asthma, sleep, and school performance. We examined the proportion (1) who met criteria for AR in an urban sample of school children with persistent asthma symptoms, (2) whose caregivers stated that they were not told of their child's allergies, (3) who had AR but were not treated or were undertreated for the disease, as well as (4) caregivers and healthcare providers' perceptions of the child's allergy status compared with study assessment, and (5) associations between self-report of asthma and AR control over a 4-week monitoring period. One hundred sixty-six children with persistent asthma participated in a clinical evaluation of asthma and rhinitis, including allergy testing. Self-report of asthma control and rhinitis control using the Childhood Asthma Control Test (C-ACT) and Rhinitis Control Assessment Test (RCAT) were measured 1 month after the study clinic session. Persistent rhinitis symptoms were reported by 72% of participants; 54% of rhinitis symptoms were moderate in severity, though only 33% of the sample received adequate treatment. AR was newly diagnosed for 53% during the clinic evaluation. Only 15% reported using intranasal steroids. Participants with poorly controlled AR had poorer asthma control compared with those with well-controlled AR. This sample of urban school-aged children with persistent asthma had underdiagnosed and undertreated AR. Healthcare providers and caregivers in urban settings need additional education about the role of allergies in asthma, recognition of AR symptoms, and AR's essential function in the comanagement of asthma. Barriers to linkages with allergy specialists need to be identified.

show abstract

“…The criteria for diagnosis of allergic rhinitis were symptoms such as sneezing, watery rhinorrhoea, nasal obstruction, & nasal or conjuctival itching (according to standard questionnaire) [4], and pale or watery nasal mucosa as detected by physical examination.…”

Section: Materials and Methodmentioning

confidence: 99%

The Role of Allergic Rhinitis in the Development of Otitis Media With Effusion

Guru¹

2013

jemds

View full text Add to dashboard Cite

ABSTRACT:The significant incidence of atopy associated with otitis media with effusion (OME) has suggested a role of allergy in the pathogenesis of OME. Past studies implicated allergy in the pathogenesis of otitis media [OM]. Otitis media is a common condition, especially in children. Most episodes of OM were associated with an upper respiratory viral infection and are shortlived and self-limiting with or without medical treatment. However, chronic OM with effusion (OME) has significant sequelae, is refractory to most medical treatments, and frequently requires surgical intervention. A large body of epidemiologic and mechanistic evidence supports a role for allergic rhinitis [AR] as a risk for OM. To establish the association of allergic rhinitis with otitis media with effusion 100 children of age group 5 to14 were taken, 50 children were suffering from otitis media[test group] & 50 were healthy[control group]. These children were evaluated clinically & a battery of laboratory tests was performed in all children to establish the prevalence of allergic rhinitis in them. Out of 50 children with otitis media 12 were suffering from allergic rhinitis & out of 50 healthy children 3 were suffering from allergic rhinitis. Chi-square test was performed and the 'P0.05' value was found to be 0.0127 [uncorrected] and was highly significant. These findings indicate that prevalence of allergic rhinitis is more in persons suffering from OME as compared to healthy individuals.

show abstract

Allergic rhinitis management pocket reference 2008*

Cited by 151 publications

References 1 publication

Characteristics of Patients with Respiratory Allergy in France and Factors Influencing Immunotherapy Prescription: A Prospective Observational Study (Realis)

Characteristics of Patients with Respiratory Allergy in France and Factors Influencing Immunotherapy Prescription: A Prospective Observational Study (Realis)

Underdiagnosed and Undertreated Allergic Rhinitis in Urban School-Aged Children with Asthma

The Role of Allergic Rhinitis in the Development of Otitis Media With Effusion

Contact Info

Product

Resources

About