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[Allergy tests in children with seasonal allergic rhinitis]
Ediba Saracević1, Amra Omercahić-Dizdarević, Snijezana Hasanbegović
1Pedijatrijska klinika, Klinicki centar Univerziteta u Sarajevu.
Insights
This study found that grass pollen allergies are most common in children with seasonal allergic rhinitis, followed by tree and weed pollen allergies. Fluticasone propionate effectively treated symptoms.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Allergens
- Clinical Diagnostics
Context:
- Seasonal allergic rhinitis (SAR) significantly impacts children's quality of life.
- Accurate allergen identification is crucial for effective SAR management in pediatric populations.
- This study investigated common pollen allergens in children presenting with SAR symptoms.
Purpose:
- To determine the prevalence of positive allergy test results for tree, grass, and weed pollens in children with SAR.
- To identify specific allergenic pollens responsible for SAR in the studied pediatric cohort.
- To evaluate the efficacy of Fluticasone propionate in managing SAR symptoms.
Summary:
- A total of 335 children with SAR underwent prick testing using standardized allergens.
- Positive reactions were observed in 62.6% for grass pollen, 29.2% for tree pollen, and 8.0% for weed pollen.
- Key allergens identified were Poa pratensis (grass), Coryllus avellana (tree), and Ambrosia elator (weed).
- Nasal Fluticasone propionate demonstrated rapid and sustained symptom relief.
Impact:
- Highlights the significant role of grass pollens as a primary allergen in pediatric SAR.
- Provides data to inform targeted allergen avoidance and immunotherapy strategies.
- Supports the use of topical corticosteroids like Fluticasone propionate as an effective treatment option.
Abstract:
The aim of this study is to show positive allergy test od tree pollen, grass pollen and weed pollen in children with season allergic rhinitis. In the study is comprised 335 children, which are tested in Pulmoallergologic out-patient department of Paediatric clinic in Sarajevo in last three years from march 1999 to march 2002 year. In testing was used prick-test with Bencard firm allergen. Criterion for positive reaction was urtica, which appear 20 minutes after testing, with diameter equal or bigger than 3 mm, and erythema was 10 mm. Positive results on tree pollen was in 98 children (29.2%), on grass pollen in 210 children (62.6%), and on weed pollen in 27 children (8.0%). In group of tree pollens Coryllus avellana pollen (Hazel pollen) has the biggest number of positive results in 74 children (75.5%), in group of grass pollens Poa pratensis pollen (Mcadow grass pollen) has biggest number of positive results in 169 children (80.4%) and in group of weed pollens main allergen is Ambrosia clator (Rag weed) in 25 children (92.0%). In therapy of our children we preferred nasal topical corticosteroide Fluticason propionate Flixonase (GlaxoSmithkline) in one daily dose 50 mcg and we had fast and prolonged result in amelioration of symptoms.