[Correlation between allergic rhinitis and childhood obstructive sleep apnea-hypopnea syndrome]

Feng Wang1, Chengyong Zhou, Jinghong Zhang

  • 1Department of Otorhinolaryngology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing,100048, China. wangfeng304@sohu.com

Insights

Allergic rhinitis is common in children with obstructive sleep apnea-hypopnea syndrome (OSAHS), with fungal allergens being the most frequent trigger. Anti-allergic drugs can effectively manage mild to moderate OSAHS, potentially avoiding surgery.

Area of Science:

  • Pediatric Sleep Medicine
  • Allergy and Immunology
  • Otolaryngology

Context:

  • Childhood obstructive sleep apnea-hypopnea syndrome (OSAHS) is a significant health concern.
  • Allergic rhinitis is a prevalent condition in children.
  • The co-occurrence of these conditions requires further investigation.

Purpose:

  • To determine the correlation between allergic rhinitis and OSAHS in pediatric patients.
  • To identify common allergens associated with this comorbidity.
  • To evaluate the efficacy of anti-allergic treatments for children with OSAHS and allergic rhinitis.

Summary:

  • A study of 574 children with OSAHS found a 44.9% incidence of allergic rhinitis, predominantly perennial.
  • Fungal allergens were the most common trigger (72.5%), followed by dust mites.
  • Anti-allergic drug treatment for 3 weeks showed significant improvement in mild to moderate OSAHS cases, with limited effect on severe cases.

Impact:

  • Highlights the strong association between allergic rhinitis and childhood OSAHS.
  • Suggests anti-allergic therapy as a primary treatment for mild/moderate cases, potentially reducing the need for surgery.
  • Recommends routine anti-allergic therapy post-tonsillectomy/adenoidectomy for OSAHS patients with allergic rhinitis.
Abstract

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