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[Cough and malaise in young children due to allergic rhinoconjunctivitis]
A Baatenburg de Jong1, J P te Rijdt, P L P Brand
1Isala Klinieken, Postbus I0.500, 8000 GM Zwolle. p.l.p.brand@isala.nl
Insights
Allergic rhinoconjunctivitis, often seen in adults, can affect children presenting with cough. Early diagnosis and treatment with antihistamines or nasal corticosteroids effectively manage symptoms in young patients.
Area of Science:
- Pediatrics
- Allergology
- Immunology
Background:
- Allergic rhinoconjunctivitis is typically diagnosed in adolescents and adults.
- Common symptoms include sneezing, nasal congestion, rhinorrhea, and itchy red eyes (hay fever).
Observation:
- Four children, aged 3.5 to 10 years, presented with cough and general discomfort.
- Clinical examination confirmed signs of allergic rhinoconjunctivitis.
- Blood tests identified house dust mite allergy as the cause.
Findings:
- Symptoms significantly improved after treatment with antihistamines or nasal corticosteroids.
- This highlights the effectiveness of standard treatments in pediatric cases.
Implications:
- Recognizing allergic rhinoconjunctivitis in children with atypical symptoms like cough is crucial.
- Prompt diagnosis and treatment can alleviate discomfort and improve quality of life in affected children.
Abstract:
Four young children (a 6-year-old girl and three boys in the ages of 3.5, 4 and 10 years) with allergic rhinoconjunctivitis were referred with symptoms of cough and general discomfort. Examination revealed signs and symptoms of allergic rhinoconjunctivitis. Blood tests revealed that they were allergic to house dust mite. The symptoms decreased following suitable treatment with antihistamines or nasal corticosteroids. Allergic rhinoconjunctivitis is usually diagnosed in adolescents and adults with symptoms of sneezing, nasal congestion or rhinorrhea and itchy red eyes ('hay fever'). In view of the availability of effective treatment options, it is important to recognise this condition in children who present with cough and malaise.
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