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Published on: December 20, 2024
Allergic rhinitis in children
1Department of Otolaryngology-Head and Neck Surgery at Saint Louis University School of Medicine, USA. tsanfor2@slu.edu
Insights
Allergic rhinitis (AR) affects 20-40% of children globally, impacting daily life. Diagnosis involves history, exam, and allergy testing, with effective treatments including avoidance, medication, and immunotherapy.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Genetics
Background:
- Allergic rhinitis (AR) is a prevalent condition in children, affecting 20-40% worldwide.
- The exact causes and risk factors for pediatric AR are not fully understood, involving genetic and environmental influences.
- While not typically life-threatening, AR significantly impacts a child's daily life and development, often co-occurring with asthma and atopic dermatitis.
Purpose of the Study:
- To provide a comprehensive overview of allergic rhinitis in children.
- To highlight the diagnostic approaches and treatment modalities for pediatric allergic rhinitis.
- To emphasize the importance of recognizing and managing AR symptoms alongside comorbidities.
Main Methods:
- Diagnosis is established through a combination of patient history and physical examination.
- Identification of causative allergens is performed using in vivo (skin testing) or in vitro (RAST testing) methods.
- Treatment strategies encompass allergen avoidance, pharmacotherapy, and immunotherapy.
Main Results:
- Allergic rhinitis is a common childhood condition with significant global prevalence.
- Diagnostic methods include clinical evaluation and specific allergy testing.
- Multiple treatment options, including allergen avoidance, medication, and immunotherapy, are available and effective.
Conclusions:
- Allergic rhinitis is a common pediatric condition with multifactorial causes.
- Accurate diagnosis relies on clinical assessment and allergen identification.
- Effective and safe treatment options exist for managing pediatric allergic rhinitis.
Abstract:
Allergic rhinitis (AR) is common in children. The prevalence has been reported to be 20-40% in the pediatric population worldwide. The cause and risk factors for the development of AR are incompletely defined but involve both genetic and environmental elements. Although allergic rhinitis is seldom a severe or life threatening disease, it can have profound effects on daily living and development of a child. AR has multiple comorbidities and is closely related to asthma and atopic dermatitis. Often the child's parents will concentrate on comorbid diseases only and will not mention or be concerned by symptoms of their child's allergic rhinitis. Diagnosis of AR is made by a combination of history and physical exam. The causative allergens are identified by allergy testing. Allergy testing is done in vivo (skin testing) or in vitro (Rast testing). Treatment ofAR can include allergen avoidance, pharmacotherapy and immunotherapy. All three therapies are effective and safe in children.
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