Rinite alérgica: indicadores de qualidade de vida

Abstract

The objective of this review was to present evidence of the relationship between allergic rhinitis and impairment of quality of life. The data sources were original articles, reviews and consensus statements entered into the Medline and LILACS databases between 1997 and 2008. The following search terms were used: "allergic rhinitis"; "quality of life"; and "sleep disorders". Quality of life is often impaired in patients with allergic rhinitis, due to the classic symptoms of the disease (sneezing, pruritus, rhinorrhea and nasal obstruction). In addition, the pathophysiology of allergic rhinitis often disrupts sleep, leading to fatigue, irritability, memory deficits, daytime sleepiness and depression. The total burden of this disease goes beyond impairment of physical and social functioning. It has also a financial impact, which becomes greater when we consider the evidence that allergic rhinitis is a possible causal factor of comorbidities, such as asthma and sinusitis. Nasal obstruction, the most prominent symptom, is associated with sleep disorders, which can have a profound effect on mental health, learning, behavior and attention. Finally, allergic rhinitis-a chronic condition that affects adults, adolescents and children-is often underdiagnosed or inadequately treated. The deleterious impact that allergic rhinitis-related sleep disorders have on patient capacity to perform activities of daily living is an important component of the morbidity of the disease. With an accurate diagnosis, there are various available treatments that can reduce the burden of allergic rhinitis.Keywords: Rhinitis, allergic, perennial; Rhinitis, allergic, seasonal; Quality of life; Sleep disorders. ResumoO objetivo desta revisão foi apresentar evidências da relação entre rinite alérgica e redução da qualidade de vida. As fontes de dados foram artigos originais, revisões e consensos indexados nos bancos de dados Medline e LILACS entre 1997 e 2008. As palavras de busca foram "rinite alérgica", "qualidade de vida" e "distúrbios do sono". Os pacientes com rinite alérgica frequentemente têm redução na qualidade de vida causada pelos sintomas clássicos da doença (espirros, prurido, coriza e obstrução). Além disso, a fisiopatologia da rinite alérgica, com frequência, interrompe o sono, ocasionando fadiga, irritabilidade, déficits de memória, sonolência diurna e depressão. A carga total da doença recai não apenas no funcionamento social e físico prejudicados, mas também no impacto financeiro, que se torna maior quando se consideram as evidências de que a rinite alérgica é um possível fator casual de comorbidades, tais como a asma e a sinusite. A obstrução nasal, o mais proeminente dos sintomas, está associada a eventos respiratórios relacionados aos distúrbios do sono, uma condição que tem profundo efeito sobre a saúde mental, o aprendizado, o comportamento e a atenção. Finalmente, a rinite alérgica -doença crônica que afeta crianças, adolescentes e adultos -frequentemente é subdiagnosticada ou inadequadamente tratada. O impacto dele...

A utilização de plantas medicinais por pacientes com doenças respiratórias crônicas participantes do grupo de reabilitação pulmonar

“…Na rinite alérgica ocorre ISSN 2317-2460 uma resposta decorrente de uma reação inflamatória mediada por anticorpos IgE, manifestada após a exposição a patógenos alérgenos. A rinite alérgica possui uma estreita relação com a asma, interfere no controle da doença e torna o seu manejo sintomático mais difícil, possuindo sintomas clínicos reversíveis espontaneamente ou com tratamento 15,16 .…”

Allergic Rhinitis in Relation to Food Allergies: Pointers to future research

“…One concept that explains this is the previously described allergic march hypothesis, which suggests a progression of symptoms from eczema and food allergies to asthma and allergic rhinitis; the later presentation of allergic rhinitis in relation to food allergies supports this concept. 2 Using Bayesian machine learning methods 19 A few studies have suggested that patients with food allergies have an increased risk of developing respiratory allergies; however, these studies were relatively small and relied primarily on self-reported data. 7,20 Of the major food allergens, peanut, milk and egg allergies significantly predispose individuals to the development of both allergic rhinitis and asthma.…”

“…1 This condition is not only associated with impaired quality of sleep and cognitive function but is also a significant contributor to reduced work performance and increased school absenteeism, with resulting indirect costs greater than those incurred by asthma. 2 Although allergic rhinitis is an organ-specific disorder, it frequently coexists with other allergic manifestations like asthma and eczema. The presence of rhinitis is a significant risk factor for asthma and the coexistence of rhinitis is associated with poor asthma control.…”

Frequência de rinite e alterações orofaciais em pacientes com má oclusão dentária

“…, 10 The prevalence of AR in Brazilian schoolchildren varies between 26.6% and 34.2% 11. Although the association between dental malocclusion and AR is common, their interrelationships deserve further study.…”