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Updated: May 31, 2026

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
Rhinitis phenotypes correlate with different symptom presentation and risk factor patterns of asthma
Jonas Eriksson1, Anders Bjerg, Jan Lötvall
1Krefting Research Centre, Department of Internal Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. jonas.eriksson@lungall.gu.se
Asthma and nasal comorbidities like allergic rhinitis and chronic rhinosinusitis frequently coexist. These conditions are linked to distinct asthma symptom patterns and risk factors, suggesting different asthma phenotypes.
Area of Science:
- Respiratory Medicine
- Clinical Immunology
- Epidemiology
Background:
- Asthma and rhinitis commonly occur together.
- Previous population studies have not fully explored the link between nasal conditions and asthma characteristics.
Purpose of the Study:
- To investigate the relationship between nasal comorbidities (allergic rhinitis, chronic rhinitis, chronic rhinosinusitis) and the expression of asthma symptoms.
- To determine if different nasal comorbidities are associated with unique risk factor profiles in asthma patients.
Main Methods:
- A postal questionnaire on respiratory health was distributed to 30,000 randomly selected adults (aged 16-75) in West Sweden.
- Data from 18,087 respondents were analyzed to assess the prevalence of asthma, rhinitis, chronic rhinosinusitis, and related symptoms and risk factors.
Main Results:
- High prevalence of allergic rhinitis (63.9%) and chronic rhinosinusitis (8.4%) was found in asthma patients.
- Asthma patients with chronic rhinitis or chronic rhinosinusitis reported more severe asthma and bronchitis symptoms.
- Environmental and occupational exposures were more strongly associated with asthma in the presence of chronic rhinosinusitis compared to allergic rhinitis.
Conclusions:
- A significant overlap exists between asthma and nasal comorbidities, confirming a strong association.
- Different nasal conditions are linked to distinct patterns of asthma symptoms and risk factors.
- Nasal comorbidities may serve as indicators for specific asthma phenotypes.
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