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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
[ARIA (Allergic Rhinitis and its Impact on Asthma) achievements in 10 years and future needs]
A Yorgancıoğlu1, C Özdemir, Ö Kalaycı
1Department of Chest Diseases, Faculty of Medicine, Celal Bayar University, Manisa, Turkey. arzuyo@hotmail.com
Insights
Allergic rhinitis and asthma are common global health issues. The Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines provide a framework for managing these co-existing conditions.
Area of Science:
- Allergy and immunology
- Respiratory medicine
- Public health
Context:
- Allergic rhinitis and asthma are prevalent global health concerns affecting all age groups.
- These conditions frequently co-exist within individuals, complicating diagnosis and treatment.
- The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative, launched in 1999, addresses this comorbidity.
Purpose:
- To reclassify allergic rhinitis based on severity (mild/moderate-severe) and duration (intermittent/persistent).
- To develop evidence-based clinical practice guidelines for managing allergic rhinitis and asthma comorbidities.
- To evaluate the achievements and identify unmet needs of ARIA implementation in Turkey.
Summary:
- The ARIA initiative reclassified allergic rhinitis and established clinical guidelines for managing allergic rhinitis and asthma, utilizing the GRADE system.
- ARIA has been adopted in over 50 countries worldwide.
- The 2010 ARIA revision focused on practical management strategies for these common allergic respiratory diseases.
Impact:
- ARIA's classification system better reflects the patient's experience and disease impact.
- Implementation of ARIA guidelines aims to improve patient outcomes for allergic rhinitis and asthma.
- Identifying unmet needs in Turkey is crucial for strengthening allergy and asthma management, particularly in children.
Abstract:
Allergic rhinitis and asthma represent global health problems for all age groups. Asthma and rhinitis frequently co-exist in the same subjects. Allergic Rhinitis and its Impact on Asthma (ARIA) was initiated during a World Health Organization (WHO) workshop in 1999 and was published in 2001. ARIA has reclassified allergic rhinitis as mild/moderate-severe and intermittent/persistent. This classification schema closely reflects the impact of allergic rhinitis on patients. In its 2010 Revision, ARIA developed clinical practice guidelines for the management of allergic rhinitis and asthma co-morbidities based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation). ARIA has been disseminated and implemented in over 50 countries of the world. In Turkey, it is important to make a record of ARIA achievements and to identify the still unmet clinical, research and implementation needs in order to strengthen the 2011 EU Priority on allergy and asthma in children.
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Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma I: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-I: Introduction
Asthma III: Clinical Manifestations
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
