Profile of Patients with Allergic Rhinitis: A Clinic Based Cross-Sectional Study from Kolkata, India

Deb, Animesh; Mukherjee, Shuvankar; Saha, Bikram Kumar; Sarkar, Biswanath Sharma; Pal, Jyotirmay; Pandey, Naren; Nandi, T.K.; Nandi, Sayantani

doi:10.7860/jcdr/2014/6812.3958

Cited by 26 publications

(42 citation statements)

References 10 publications

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“…[25] The high rate of comorbidity associated with asthma and AR is supported by several studies and is consistent with our findings, with 80% of enrolled patients with a primary diagnosis of asthma being diagnosed with AR with or without other conditions. [102627] The reciprocal relationship was also evident, as 32.1% of patients with a primary diagnosis of AR were diagnosed asthma, however this was less than previously reported. [10]…”

Section: Discussionmentioning

confidence: 88%

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The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study

et al. 2016

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Background:Chronic respiratory diseases such as asthma, allergic rhinitis (AR), chronic obstructive pulmonary disease (COPD), and rhinosinusitis are becoming increasingly prevalent in the Asia-Pacific region. The Asia-Pacific Burden of Respiratory Diseases study examined the disease and economic burden of AR, asthma, COPD, and rhinosinusitis across the Asia-Pacific and more specifically India.Objectives:To estimate the proportion of adults receiving care for asthma, AR, COPD, and rhinosinusitis and assess the economic burden, both direct and indirect of these chronic respiratory disease.Subjects and Methods:Consecutive participants aged ≥18 years with a primary diagnosis of asthma, AR, COPD, or rhinosinusitis were enrolled. Surveys comprising questions about respiratory disease symptoms, healthcare resource utilization, work productivity, and activity impairment were completed by treating physicians and participants during one study visit. Costs, indirect and direct, that contributed to treatment for each of the four respiratory diseases were calculated.Results:A total of 1000 patients were enrolled. Asthma was the most frequent primary diagnosis followed by AR, COPD, and rhinosinusitis. A total of 335 (33.5%) patients were diagnosed with combinations of the four respiratory diseases; the most frequently diagnosed combinations were asthma/AR and rhinosinusitis/AR. Cough or coughing up sputum was the primary reason for the current visit by patients diagnosed with asthma and COPD while AR patients reported a watery, runny nose, and sneezing; patients with rhinosinusitis primarily reported a colored nasal discharge. The mean annual cost per patient was US$637 (SD 806). The most significant driver of direct costs was medications. The biggest cost component was productivity loss.Conclusions:Given the ongoing rapid urbanization of India, the frequency of respiratory diseases and their economic burden will continue to rise. Efforts are required to better understand the impact and devise strategies to appropriately allocate resources.

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Section: Discussionmentioning

confidence: 88%

“…[6789] Approximately 55% of all allergies seen in India are attributed to AR. [10] The estimated prevalence in adults for the Asia-Pacific region is between 10% and 32% although it is frequently underdiagnosed or mistreated. [5] COPD remains the third leading cause of mortality worldwide, responsible for 5.5% of deaths annually.…”

Section: Introductionmentioning

confidence: 99%

The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study

et al. 2016

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“…Among these allergic diseases, Allergic Rhinitis is an extremely common disease worldwide, affecting 10 to 25% of the population. 4 A total of sixty children age ranging from six to fifteen years with allergic rhinitis were studied. Allergic rhinitis can usually present from early childhood.…”

Section: Discussionmentioning

confidence: 99%

Clinical profile and skin prick test analysis in children with allergic rhinitis of North Kerala, India

Shyna

Kumari

Krishnan

et al. 2018

Int J Contemp Pediatr

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Background: Allergic rhinitis (AR) is increasing in prevalence among children globally and in India. Allergens are factors which trigger allergic rhinitis. Skin prick test (SPT) is a rapid, sensitive and cost effective test to detect IgE- mediated allergic diseases. Identification of common aeroallergens in an area is necessary, in order to educate the patient on what allergens to avoid and also help find the best formulation of allergen immunotherapy for effective AR treatment. This study was done to find the clinical profile and skin sensitivity to common allergens by skin prick test in children with allergic rhinitis between six and fifteen years.Methods: This cross-sectional study was conducted for a period of one year from January 2016 to December 2016. All children between 6 to 15 years with allergic rhinitis were included in the study. Skin prick test was done with seven most common allergens.Results: A total of 60 children with allergic rhinitis were studied and 42 patients (70%) tested positive for SPT. The major symptoms were persistent sneezing (68%), nasal itching (33%), rhinorrhea (85%) and nasal congestion (42%). The proportion of sneezers-runners was higher than blockers (64% versus 36). We tested seven common allergens and house dust mite allergen yielded the highest number of positive responses (33%) followed by cockroach (25%), alternaria (16.66%), parthenium (10%), cat dander (8.35%), sorghum (5%) and dog dander (5%). Among patients with SPT positivity; eight were positive to one allergen, thirteen were positive to two allergens, sixteen to three allergens and five to four allergens.Conclusions: Allergic Rhinitis with a number of allergic co morbidities has a significant impact on the quality of life and scholastic performance in children. Skin prick test which is a standardized, most rapid, sensitive and cost-effective test to detect IgE-mediated allergic diseases is helpful in identifying the common allergens. House dust mite is the commonest allergen tested positive in our study in children.

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“…4 Así, en población adulta no seleccionada se presentan variaciones en la frecuencia que van de 6 % a casi 40 %; 5,6,7,8,9,10 en tanto, en población seleccionada la cantidad puede oscilar de 20 a 70 %, según la enfermedad alérgica analizada. 11,12,13 En nuestro país, los estudios encaminados a evaluar la sensibilización a alimentos en población adulta son escasos, pues se considera un problema de la edad pediátrica. La investigación que se presenta tuvo como objetivos determinar la prevalencia de sensibilización a alimentos en pacientes adultos con enfermedades alérgicas, describir los alimentos que los sensibilizan e identificar los factores asociados con su presencia.…”

Section: Antecedentesunclassified

“…En población seleccionada, la cifra de sensibilización a alimentos tiende a ser mayor; por ejemplo, en un estudio realizado en Suecia con más de 1500 adultos con asma, la frecuencia de sensibilización fue de 53 %, 13 superior a la observada en nuestros resultados. En cuanto a la población con rinitis alérgica, en la India se observó una frecuencia de sensibilización a alimentos entre 18 y 23 %, 11 inferior a la que documentamos nosotros. Si bien en nuestra investigación no incluimos pacientes con dermatitis atópica, en ellos se ha observado una frecuencia de sensibilización a alimentos superior a 70 %.…”

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Alta prevalencia de sensibilización a alimentos en adultos con enfermedades alérgicas residentes en la zona metropolitana de Guadalajara

Bedolla-Barajas

Torres-Álvarez

Contreras-González

et al. 2017

RAM

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Alta prevalencia de sensibilización a alimentos en adultos con enfermedades alérgicas residentes en la zona metropolitana de Guadalajara 1 Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Servicio de Alergia e Inmunología Clínica. Guadalajara, Jalisco, México. 2 Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud. Guadalajara, Jalisco, México. 3 Universidad Autónoma de Guadalajara, Licenciatura en Medicina. Zapopan, Jalisco, México. 4 Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Servicio de Medicina Interna. Guadalajara, Jalisco, México. AbstractBackground: The prevalence of food sensitization in adults shows differences owing to geographic, regional and cultural circumstances. Objective: To identify the prevalence and factors associated with food sensitization in adults with allergic diseases. Methods: Cross-sectional study, where medical records of adult patients with any allergic disease and who tested positive to airborne allergens on at least one skin test were reviewed. Age, sex, underlying allergic disease and skin test result were recorded. Statistical analyses included food sensitization prevalence with the corresponding 95 % confidence intervals (CI), as well as a multivariate analysis to determine associated factors. Results: We included 258 patients with a mean of 36 years of age; 75 % were of the female sex. The most common underlying condition was allergic rhinitis (59 %). The prevalence of food sensitization was 37 % (95 % CI, 31.5-43.3) and it did not vary significantly according to sex or allergic disease in question. The most sensitizing food was soybeans (44.8 %), and associated factors were sensitization to cat dander (OR = 1.8; 95 % CI, 1.03-3.2) and 5 or more positive skin tests (OR = 4.3, 95 % CI 2.3-8.1). Conclusions: The prevalence of food sensitization in people with allergic disease was 40 %. Further studies are required to determine its prevalence in the general population.

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Profile of Patients with Allergic Rhinitis: A Clinic Based Cross-Sectional Study from Kolkata, India

Abstract: Background: Allergic Rhinitis (AR) though quite common in India, does not receive its due importance as it deserves.

Cited by 26 publications

References 10 publications

The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study

The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study

Clinical profile and skin prick test analysis in children with allergic rhinitis of North Kerala, India

Alta prevalencia de sensibilización a alimentos en adultos con enfermedades alérgicas residentes en la zona metropolitana de Guadalajara

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