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National guidelines needed to manage rhinitis and prevent complications
1Department of Pediatrics; UCLA School of Medicine, Los Angeles, California, USA.
Summary
Allergic rhinitis is linked to asthma and sinusitis, potentially predisposing individuals to these conditions. Effective treatment of allergic rhinitis can improve lung function and asthma symptoms, highlighting the need for national management guidelines.
Area of Science:
- Allergy and Immunology
- Pulmonology
- Otolaryngology
Background:
- Allergic rhinitis is a prevalent global condition with nasal allergies as a primary cause.
- It is associated with chronic respiratory diseases like asthma and sinusitis.
- Understanding these links is crucial for managing rhinitis and related conditions.
Purpose of the Study:
- To review the relationship between allergic rhinitis, asthma, and sinusitis.
- To provide evidence for developing national rhinitis management guidelines.
Main Methods:
- Searched MEDLINE, bibliographies, and expert consultations for relevant English studies.
- Reviewed major studies on allergic rhinitis epidemiology, effects, and its association with other airways diseases.
Main Results:
- Strong evidence shows allergic rhinitis frequently coexists with asthma and sinusitis, possibly predisposing to them.
- Nasal inflammation and obstruction impact asthma pulmonary function and symptoms.
- Treatments for allergic rhinitis (antihistamines, nasal corticosteroids, immunotherapy, allergen avoidance) positively affect lung function and asthma.
Conclusions:
- The increasing prevalence of allergic rhinitis, asthma, and sinusitis necessitates prompt management.
- Optimal treatment of allergic rhinitis may prevent or mitigate the severity of these conditions.
- There is an urgent need for evidence-based national guidelines for rhinitis diagnosis and management, especially when coexisting with other airways diseases.