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Chronic rhinosinusitis and allergy.

G Leo1, E Piacentini, C Incorvaia

  • 1Pediatric Allergy and Respiratory Physiopathology Unit, Istituti Clinici di Perfezionamento, Milan, Italy. g.leo@icp.mi.it

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
|December 6, 2007
PubMed
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Allergic sensitization is not significantly linked to chronic sinusitis in children. The prevalence of aeroallergen sensitization in children with chronic sinusitis is similar to the general pediatric population, suggesting allergy testing may not be routinely necessary.

Area of Science:

  • Pediatric Allergy and Immunology
  • Otolaryngology
  • Epidemiology

Background:

  • The relationship between allergic sensitization and chronic sinusitis in children remains uncertain, with conflicting study results.
  • Some studies report high atopy prevalence in pediatric chronic sinusitis, while others find no association.

Purpose of the Study:

  • To investigate the prevalence of allergic sensitization in children diagnosed with chronic sinusitis.
  • To determine if allergic sensitization is a significant risk factor for chronic sinusitis in pediatric populations.

Main Methods:

  • A cross-sectional study involving 351 children with chronic sinusitis symptoms.
  • Allergen sensitization assessed via skin prick tests and total IgE levels.
  • Patients stratified into three age groups: <3 years, 3-6 years, and >6 years.

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Main Results:

  • Overall prevalence of sensitization to at least one inhalant allergen was 29.9%.
  • Sensitization prevalence varied significantly by age group (7.4% in <3 years, 31.4% in 3-6 years, 33.3% in >6 years; p=0.028).
  • After age adjustment, chronic sinusitis and aeroallergen sensitization were not significantly correlated; high total IgE also showed no significant age-group differences.

Conclusions:

  • The prevalence of aeroallergen sensitization in children with chronic sinusitis is comparable to the general pediatric population.
  • Routine allergy investigation is not warranted for children presenting with chronic sinusitis.