[Prevalence of allergy in children with acute rhinosinusitis]

Z Z Cao1,2, H J Xiang1,2, J J Gao1,2

  • 1Department of Otolaryngology, the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou, 325000, China.

Insights

Allergy is common in children with acute rhinosinusitis (ARS), with over 40% affected by perennial allergens. Allergic rhinitis significantly worsens ARS symptoms and quality of life in pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Allergy and Immunology
  • Respiratory Medicine

Context:

  • Acute rhinosinusitis (ARS) is a common pediatric condition.
  • The role of allergy in pediatric ARS requires further investigation.
  • Understanding allergy prevalence is crucial for effective ARS management in children.

Purpose:

  • To determine the prevalence of allergy in children diagnosed with ARS.
  • To compare symptom severity and quality of life between allergic and non-allergic pediatric ARS patients.
  • To evaluate the impact of specific allergen types (inhalation vs. perennial) on ARS presentation.

Summary:

  • A study of 207 children with ARS found that 44.4% had positive skin prick tests to inhalation allergens and 40.6% to perennial allergens, significantly higher than controls.
  • Perennial allergies were more prevalent than seasonal allergies in pediatric ARS.
  • Allergic ARS patients reported more severe nasal obstruction, discharge, post-nasal drip, and itchy eyes/nose, along with lower quality of life scores (SN-5).

Impact:

  • Allergic factors are significant contributors to the development and severity of pediatric ARS.
  • Findings highlight the importance of allergy screening in children presenting with ARS.
  • This research can inform targeted treatment strategies for pediatric ARS, improving patient outcomes.

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