Prevalence and Prediction of Allergic Rhinitis Using Questionnaire and Nasal Smear Examination in Schoolchildren

Okano, Mitsuhiro; Nishizaki, Kazunori; Nakada, Michihiro; Kawarai, Yasuyuki; Goto, Shoichi; Satoskar, Abhay R.; Satoskar, Anjali A.; Takehisa, Tohru; Masuda, Yu

doi:10.1080/00016489950181215

Cited by 17 publications

(13 citation statements)

References 16 publications

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“…In 1 pediatric study, nasal eosinophilia was found to predict prolonged or subsequent allergic rhinitis symptoms. 858 In addition, the nasal eosinophil count has been shown to correlate with the severity of perennial allergic rhinitis in children. 859 Recognizing that many patients with allergic rhinitis have increased airway reactivity and will subsequently develop asthma, the nasal smear for eosinophils may help predict the progression of disease; in adult patients with allergic rhinitis as the only allergic diagnosis, it has been shown that the number of nasal eosinophils correlates with the methacholine response.…”

Section: Nasal Provocation Testingmentioning

confidence: 99%

The diagnosis and management of rhinitis: An updated practice parameter

Wallace¹,

Dykewicz²,

Bernstein³

et al. 2008

Journal of Allergy and Clinical Immunology

942

953

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Section: Nasal Provocation Testingmentioning

confidence: 99%

The diagnosis and management of rhinitis: An updated practice parameter

Wallace¹,

Dykewicz²,

Bernstein³

et al. 2008

Journal of Allergy and Clinical Immunology

942

953

View full text Add to dashboard Cite

“…A nasal smear for eosinophils may be useful for the skin test-negative individual with significant nasal complaints [36]. Imaging studies, especially limited coronal sinus CT, should be considered because of the possibility of concomitant sinusitis.…”

Section: Children and Adolescentsmentioning

confidence: 98%

Prevalence and differential diagnosis of chronic rhinitis

Georgitis

2001

Curr Allergy Asthma Rep

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The prevalence and differential diagnosis of rhinitis changes as we progress from birth to senescence. The heavy burden of allergic rhinitis is often overlooked in infants and disregarded in childhood and adolescence. In women, especially during pregnancy, hormonal changes can significantly affect nasal mucosal hyperreactivity and worsen ongoing syndromes. Various types of inflammatory and noninflammatory nonallergic rhinitides become more prevalent in the fifth decade and beyond. The burgeoning elderly population with irritant, atrophic, and medication-related rhinitis will constitute a greater proportion of our practices as the general population ages.

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“…Eosinophilia in nasal mucosa is characteristic of AR (12). However, little is known about the prevalence of nasal eosinophilia (13).…”

mentioning

confidence: 99%

Prevalence of allergic rhinitis and nasal smear eosinophilia in 11‐ to 15 yr‐old children in Shiraz

Miri

Farid

Akbari

et al. 2006

Pediatric Allergy Immunology

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Allergic rhinitis (AR) is a common condition among schoolchildren. The prevalence rate of AR differs among countries and even among regions within the same country. The objective of this study was to determine the prevalence of nasal symptoms and signs of AR and nasal smear eosinophilia in 11- to 15-yr-old children in Shiraz. A total of 4584 children aged 11-15 yr of both sexes were surveyed from May 1995 to April 1996, and nasal symptoms and signs of AR (sneezing, rhinorrhea, nasal blockage, itching, color change, mucosal swelling, nasal wetness, and nasal crease), based on questionnaire and ear, nose and throat (ENT) examination were recorded. In addition, smears were taken from nasal secretions and stained. The results compared with nasal smears related to 340 healthy children. 1008 (22%) schoolchildren had nasal symptoms of AR (based on the questionnaire), 445 (9.7%) were identified as having nasal symptoms and signs of AR (based on the questionnaire and ENT specialist examination), and 226 (5.8%) had nasal symptoms and signs of AR associated with nasal eosinophilia (based on the questionnaire, ENT specialist examination and positive nasal smear for eosinophilia). Nasal eosinophilia was present in 274 (62%) children with nasal symptoms and signs of AR. This survey showed that prevalence of nasal symptoms and signs of AR was high in schoolchildren in Shiraz. Nasal smear eosinophilia had a diagnostic specificity of 96% and sensitivity of 62% and seems to be a potentially valuable test for AR.

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Prevalence and Prediction of Allergic Rhinitis Using Questionnaire and Nasal Smear Examination in Schoolchildren

Cited by 17 publications

References 16 publications

The diagnosis and management of rhinitis: An updated practice parameter

The diagnosis and management of rhinitis: An updated practice parameter

Prevalence and differential diagnosis of chronic rhinitis

Prevalence of allergic rhinitis and nasal smear eosinophilia in 11‐ to 15 yr‐old children in Shiraz

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