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Association of Allergic Rhinitis and Sinusitis with Childhood Asthma
Selva Kumar Chinnakkannan1, Meenu Singh, Rashmi Ranjan Das
1Departments of Pediatrics and *Radiology, Post Graduate Institute of Medical Education and Research, Chandigarh; and #Department of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar; India. Correspondence to: Dr Meenu Singh, Professor, Department of Pediatrics, PGIMER, Chandigarh 160 012, India. meenusingh4@gmail.com.
Insights
Allergic rhinitis is common in children with asthma, affecting 13.6%. Sinusitis is rare in this group. Both conditions, along with family history, are linked to asthma severity.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
Background:
- Childhood asthma is a prevalent respiratory condition.
- Comorbidities like allergic rhinitis and sinusitis can impact asthma management.
- Understanding the prevalence of these conditions is crucial for effective treatment.
Purpose of the Study:
- To determine the point prevalence of allergic rhinitis and sinusitis in children with asthma.
- To investigate the association between allergic rhinitis, sinusitis, and asthma severity.
Main Methods:
- A study involving 250 children under 13 years old with mild-to-moderate asthma.
- Allergic rhinitis diagnosed using clinical criteria and nasal eosinophilia.
- Sinusitis diagnosed clinically and confirmed with computerized tomography (CT) scans.
Main Results:
- The point prevalence of allergic rhinitis was 13.6%.
- The point prevalence of sinusitis was 2%.
- Multivariate analysis indicated that allergic rhinitis, sinusitis, and family history were significantly associated with asthma severity.
Conclusions:
- Allergic rhinitis is a common condition in children with asthma.
- Sinusitis appears to be rare in this pediatric asthma population.
- Identifying and managing allergic rhinitis in asthmatic children is important due to its association with disease severity.
Objective:
To study the point prevalence of allergic rhinitis and sinusitis in childhood asthma and to examine the relationship among them.
Methods:
In 250 children (age <13 y) with mild-to-moderte asthma, allergic rhinitis was diagnosed by clinical plus nasal eosinophilia criteria, and sinusitis was diagnosed clinically plus confirmation by computerized tomography scan.
Results:
The point prevalence of allergic rhinitis was 13.6%, and of sinusitis was 2%. On multivariate analysis, allergic rhinitis, sinusitis, and family history were significantly associated with asthma severity.
Conclusion:
Allergic rhinitis is common in childhood asthama, but sinusitis is rare.
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