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Nasal symptoms in bronchial asthma
1Department of Medicine, University of Benin Teaching Hospital, Nigeria.
East African Medical Journal
|January 1, 1990
Summary
Asthma patients frequently experience nasal symptoms like rhinitis and rhinosinusitis. Treating these underlying nasal conditions can significantly improve asthma symptom severity.
Area of Science:
- Respiratory Medicine
- Otolaryngology
Background:
- Chronic rhinitis and rhinosinusitis are common in patients with bronchial asthma.
- A significant portion of asthma cases exhibit nasal symptoms preceding or coinciding with asthma onset.
Purpose of the Study:
- To investigate the prevalence and impact of nasal symptoms in bronchial asthma patients.
- To explore the relationship between nasal conditions and asthma exacerbations.
Main Methods:
- Retrospective review of 160 consecutive bronchial asthma cases.
- Analysis of patient history for nasal symptoms, family history of asthma, and symptom onset correlation.
- Assessment of asthma symptom improvement following nasal condition treatment.
Main Results:
- 127 (79%) of asthma patients presented with nasal symptoms (rhinitis/rhinosinusitis).
- Nasal symptoms began before or concurrently with asthma in 69% of cases.
- Nasal symptoms preceded, precipitated, or accompanied asthma episodes in 46% of cases, with significant improvement upon nasal treatment.
Conclusions:
- Persistent nasal symptoms are prevalent in asthma patients and can act as aggravating factors.
- Treating underlying nasal conditions offers significant improvement in asthma symptom severity.
- Screening for and treating nasal conditions should be considered in asthma management.