[Allergic rhinitis in pediatrics: recommendations for diagnosis and treatment]

Claudio A Agüero1, María P Sarraquigne1, Claudio A S Parisi1

  • 1Comité Nacional de Alergia, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina.

Insights

Allergic rhinitis (AR) is a common childhood condition often missed and undertreated. Evidence-based recommendations are provided to improve diagnosis and management, including allergen immunotherapy.

Area of Science:

  • Pediatrics
  • Allergology
  • Immunology

Context:

  • Allergic rhinitis (AR) is a prevalent chronic pediatric disease, frequently underdiagnosed and undertreated.
  • Prevalence ranges from 2-25%, with symptoms including sneezing, itching, runny nose, and nasal congestion.
  • AR significantly impacts quality of life and incurs substantial medical costs.

Purpose:

  • To provide evidence-based recommendations for the diagnosis and treatment of allergic rhinitis in children.
  • To address the underdiagnosis and undertreatment of AR and its associated comorbidities.
  • To guide clinicians in managing AR and improving patient outcomes.

Summary:

  • The National Allergy Committee of the Sociedad Argentina de Pediatría developed recommendations based on current evidence.
  • Recommendations cover diagnosis, treatment, and management of AR comorbidities like rhinosinusitis, asthma, and infections.
  • Specific allergen immunotherapy is highlighted as a preventive measure for new sensitizations and reduced bronchial hyperreactivity.

Impact:

  • Improved diagnosis and management of pediatric allergic rhinitis.
  • Reduced negative impact on patients' quality of life and healthcare costs.
  • Prevention of new allergic sensitizations and reduction of bronchial hyperreactivity through immunotherapy.

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