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Acute Rhinosinusitis in Children with Inhalant Allergies
Aleksandra Pietraś1, Grażyna Mielnik-Niedzielska1
1Chair and Department of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin, 20-093 Lublin, Poland.
Insights
Inhalant allergies, particularly dust mite allergies, can worsen acute rhinosinusitis in children. Allergic children experienced more severe symptoms and longer hospital stays compared to non-allergic peers.
Area of Science:
- Pediatric Otolaryngology
- Allergology
- Immunology
Background:
- Rhinosinusitis is a common pediatric health issue.
- The impact of allergies on pediatric rhinosinusitis requires further investigation.
- Understanding this link is crucial for effective pediatric care.
Purpose of the Study:
- To evaluate the influence of inhalant allergy on acute rhinosinusitis in children.
- To compare disease severity and treatment outcomes between allergic and non-allergic pediatric patients.
- To identify specific allergens contributing to rhinosinusitis severity.
Main Methods:
- Retrospective study of 100 pediatric patients with acute rhinosinusitis (ages 3-17).
- Inclusion of a control group of 50 children without allergies.
- Data collection via medical history, laryngological examination, laboratory tests, and radiological imaging.
Main Results:
- Dust mite allergy was the most prevalent allergen.
- Allergic children presented later, had longer hospitalizations, and more severe disease.
- Complications like orbital involvement and fever were more frequent in allergic children.
- Non-allergic children primarily required pharmacological treatment.
Conclusions:
- Inhalant allergy, especially to dust mites, significantly contributes to more severe acute rhinosinusitis in children.
- Allergic rhinosinusitis in children necessitates a comprehensive diagnostic and management approach.
- Early identification and management of allergies are vital for improving outcomes in pediatric rhinosinusitis.
Abstract:
Rhinosinusitis is an essential medical problem in pediatric populations. Due to a lack of studies considering allergy impact on pediatric rhinosinusitis, it seems legitimate to investigate this subject. The aim of this paper was to assess the influence of inhalant allergy on acute rhinosinusitis in children. The study involved 100 pediatric patients aged between 3 and 17 years who were admitted to the Chair and Department of Pediatric Otolaryngology, Phoniatrics and Audiology of the Medical University of Lublin due to acute rhinosinusitis. The control group consisted of 50 children without allergy, and the study group consisted of 50 children suffering from inhalant allergy. The methodology employed in this study involved medical history and laryngological examination, as well as laboratory and radiological testing. Dust mite allergy was the most common allergy among patients in the study group. Patients with allergies presented at the hospital later than patients without allergy, and their hospitalization lasted longer due to more severe sinus disease, higher inflammatory parameters, multiple sinus involvement, more frequent fever or rhinosinusitis complications, especially orbital occurrence. Most children in the control group required only pharmacological treatment. Inhalant allergy, especially dust mite allergy, contributes to more severe acute rhinosinusitis in children.
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