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Allergic rhinitis in children with asthma: a questionnaire-based study
S Hamouda1, C Karila, T Connault
1Université Paris Descartes, Assistance Publique des hôpitaux de Paris, Hôpital Necker Enfants Malades, Service de Pneumologie et d'Allergologie Pédiatriques, Paris, France.
Summary
Allergic rhinitis (AR) is common in children with asthma, affecting 58.7%. This study found AR is not a risk factor for asthma severity in children. A modified questionnaire effectively identifies AR in this population.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Clinical Epidemiology
Background:
- Allergic rhinitis (AR) and asthma frequently coexist in children, but this association is understudied.
- Understanding the prevalence of AR in pediatric asthma patients is crucial for comprehensive management.
Purpose of the Study:
- To determine the prevalence of allergic rhinitis (AR) in children diagnosed with asthma.
- To investigate whether AR serves as a risk factor for increased asthma severity in pediatric patients.
Main Methods:
- A prospective study involving 404 asthmatic children (aged 3-18 years) using a modified adult Score for Allergic Rhinitis (SFAR) questionnaire.
- AR and asthma were classified using ARIA and GINA 2004 guidelines, respectively.
- The adapted SFAR questionnaire demonstrated high diagnostic accuracy for AR in asthmatic children.
Main Results:
- Allergic rhinitis (AR) was diagnosed in 58.7% of the asthmatic children studied.
- AR was classified as intermittent in 57.8% and persistent in 42.2% of affected children.
- The presence of AR did not correlate with asthma severity; similar proportions of children with mild and moderate-to-severe asthma had AR.
Conclusions:
- Allergic rhinitis (AR) and asthma exhibit a high comorbidity rate (58.7%) in the pediatric population.
- The adapted Score for Allergic Rhinitis (SFAR) questionnaire is a simple, reliable tool for detecting AR in children with asthma.
- AR is frequently associated with childhood asthma but does not appear to be a significant risk factor for asthma severity.
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