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[Allergic rhinitis in children].

J Percodani1, S Doussau-Thuron, A Didier

  • 1Service d'ORL, CHR Rangueil, 31403 Toulouse, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|September 11, 2002
PubMed
Summary
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Allergic rhinitis (AR) in children, diagnosed by history, causes nasal discomfort and affects quality of life. Specific desensitization offers a unique treatment to modify immune responses to allergens.

Area of Science:

  • Pediatrics
  • Immunology
  • Otolaryngology

Context:

  • Allergic rhinitis (AR) diagnosis in children relies on patient history.
  • AR can be seasonal (pollinic) or perennial (chronic).
  • AR significantly impacts children's quality of life, school attendance, and facial development, and can be complicated by asthma.

Purpose:

  • To differentiate between seasonal and perennial allergic rhinitis based on historical data.
  • To outline the potential complications and impacts of allergic rhinitis in pediatric patients.
  • To compare specific desensitization with other treatments like antihistamines and intranasal corticosteroids for AR.

Summary:

  • Diagnosis of pediatric allergic rhinitis (AR) is primarily historical, distinguishing between seasonal and perennial types.

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  • AR's consequences include nasal discomfort, reduced quality of life, school absenteeism, potential facial growth impact, and asthma comorbidity.
  • Specific desensitization is presented as a unique immunomodulatory treatment, contrasted with antihistamines and intranasal corticosteroids, with treatment choice dependent on symptom severity, respiratory impact, and age.

    • Impact:

    • Highlights the severe consequences of untreated allergic rhinitis in children.
    • Emphasizes the unique role of specific desensitization in altering the immune response to allergens.
    • Provides a framework for selecting appropriate AR treatments based on clinical factors in pediatric patients.