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A survey on features of allergic rhinitis in children
- Publication Year :
- 2013
-
Abstract
- Objective: A number of epidemiologic studies evaluated the prevalence of allergic rhinitis (AR), but few data are available on its different clinical presentations. We addressed this survey to assess the features of AR in children and adolescents. Methods: Thirty-five centers in Italy included 2623 pediatric patients with rhinitis, of whom 2319 suffered from AR, while 304 had other kinds of rhinitis. For each patient a standardized questionnaire was filled in, including ARIA classification, the duration of symptoms, the allergen identified as clinically relevant, the co-morbidities, the kind of treatment, the response to treatment, the satisfaction with the treatment, and the feasibility of allergen immunotherapy (AIT). Results: Of the 2319 patients, 597 (25.7%) had mild intermittent, 701 (30.2%) mild persistent, 174 (7.5%) moderate-severe intermittent, and 773 (33.3%) moderate-severe persistent AR. The allergens most relevant were grass pollen and dust mites. The most frequently used drugs were oral antihistamines (83.1%) and topical corticosteroids (63.5%). The response to treatment was judged as excellent in 13.5%, good in 45.1%, fair in 30.8%, poor in 10%, and very bad in 0.6% of cases. The satisfaction with treatment was judged as very satisfactory in 15.2%, satisfactory in 61.8%, unsatisfactory in 22.4%, and very unsatisfactory in 0.5% of cases. AIT was considered indicated in 53.1% of patients with mild intermittent, 79.2% of moderate-severe intermittent, 72.6% of mild persistent, and 82.7% of moderate-severe persistent AR. Conclusions: The limitation of this study is that the population was not unselected and this prevents epidemiological significance. These results offer confirmation of the adequacy of ARIA guidelines in classifying patients with AR and of the association of severe phenotype with lack of success of drug treatment. © 2013 Informa UK Ltd All rights reserved.
- Subjects :
- Questionnaires
Male
Pediatrics
medicine.disease_cause
Adrenal Cortex Hormone
Allergic rhinitis
Drug treatment
Allergen
Adrenal Cortex Hormones
Grass pollen
Surveys and Questionnaires
Child
Rhinitis
Allergen immunotherapy
biology
Medicine (all)
Pyroglyphidae
General Medicine
Dust mites
Response to treatment
Phenotypes
Phenotype
Italy
Child, Preschool
Female
Adolescent
Animals
Histamine Antagonists
Humans
Rhinitis, Allergic, Seasonal
Histamine Antagonist
Human
allergen immunotherapy
phenotypes
aria classification
allergic rhinitis
drug treatment
medicine.medical_specialty
ARIA classification
Allergic
medicine
Allergic rhiniti
Preschool
Settore MED/38 - Pediatria Generale e Specialistica
Seasonal
business.industry
Animal
Questionnaire
biology.organism_classification
Dermatology
Clinical trial
Multicenter study
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....4f57b54957d0d270a9a46969f1bd9935