Predictive factors to differentiate between allergic and nonallergic rhinitis in children

Abstract

Features of rhinitis patients with seasonality, sneezing, moderate/severe rhinitis, and response to antihistamines may help in differentiation of AR from NAR at the primary care level.

Characterization of Rhinitis According to the Asthma Status in Adults Using an Unsupervised Approach in the EGEA Study

“…Whereas rhinitis is classically divided in allergic and non-allergic rhinitis based on the allergic sensitization, our results suggest that allergic sensitization may be insufficient to differentiate correctly AR and NAR and to make the diagnosis of AR. This result is concordant with a paper studying predictor factors to differentiate between allergic and non-allergic rhinitis in children [ 25 ], which found out that features of rhinitis as seasonality, moderate/severe symptoms help in the differentiation of rhinitis. Di Lorenzo [ 21 ] has showed that several clinical and laboratory parameters may help to reinforce or exclude the diagnosis of AR obtained with SPT, and Quillen said that: “allergy testing is not necessary in all patients but may be useful in ambiguous or complicated cases”[ 26 ].…”

How does the pattern of aeroallergen sensitization change over time across all ages?

“…AR and NAR cannot be distinguished by symptoms alone because their symptoms are similar. Some features such as seasonality, sneezing, moderate/severe symptoms, and response to antihistamines may differentiate AR from NAR . To distinguish AR and NAR, IgE sensitization tests are required, including skin‐prick tests or in vitro tests for specific IgEs against aeroallergens .…”

Comparing the effects of allergic rhinitis and non-allergic rhinitis on quality of life in children

“…363 AR, 109 AOR tanısı almış çocuklarda yapılan bir analizde burun tıkanıklığı ve burun kaşıntısı şikâyetleri açısından iki grup arasında anlamlı farklı olmadığı saptanmıştır. [13] Hastaların hastalıklara özel subjektif algılarının belirlenmesi, bu hastalıkların günlük yaşam üzerindeki etkisinin daha gerçekçi bir tanımını vermektedir. Bu amaçla çeşitli yaşam kalite indeksleri oluşturulmuştur.…”