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Chronic sinusitis and atopy: a cross-sectional study.

G Leo1, E Piacentini, C Incorvaia

  • 1Pediatric Allergy and Respiratory Physiopathology Unit, Istituti Clinici di Perfezionamento, Milan, Italy.

European Annals of Allergy and Clinical Immunology
|February 6, 2007
PubMed
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In children with chronic sinusitis, allergic sensitization to common inhalant allergens is prevalent but not significantly correlated with the condition after age adjustment. Routine allergy testing is not recommended for these cases.

Area of Science:

  • Pediatric Allergy and Immunology
  • Otolaryngology
  • Respiratory Medicine

Background:

  • The link between allergic sensitization and chronic sinusitis in children remains unclear, with conflicting research findings.
  • Previous studies have yielded inconsistent results regarding the role of allergies in pediatric chronic sinusitis.

Purpose of the Study:

  • To determine the prevalence of sensitization to common inhalant allergens in children diagnosed with chronic sinusitis.
  • To evaluate the relationship between aeroallergen sensitization and chronic sinusitis across different age groups in pediatric patients.

Main Methods:

  • A cross-sectional study involving 351 children with chronic sinusitis symptoms.
  • Allergen sensitization was assessed using skin prick tests (SPT) and total IgE levels.

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  • Participants were stratified into three age groups: <3 years, 3-6 years, and >6 years.

    • Main Results:

    • Overall sensitization to at least one inhalant allergen was 29.9%.
    • SPT sensitization prevalence varied significantly by age group (7.4% in Group 1, 31.4% in Group 2, 33.3% in Group 3; p=0.028).
    • After adjusting for age, no significant correlation was found between sinusitis and aeroallergen sensitization.

    Conclusions:

    • The prevalence of aeroallergen sensitization in children with chronic sinusitis is similar to the general pediatric population.
    • Routine allergy investigation is not warranted for children diagnosed with chronic sinusitis based on these findings.