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[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.
Abstract:
Allergic rhinitis (AR) is one of the most common chronic diseases in children. However, it remains underdiagnosed and undertreated. Its prevalence has increased in recent years and varies from 2 to 25 %. Symptoms include sneezing, itching, runny nose, and nasal congestion. A correct diagnosis and treatment of AR and its comorbidities such as rhinosinusitis with or without nasal polyposis, conjunctivitis, otitis media, bronchial asthma and respiratory tract infections, are important to reduce the negative impact on the quality of life of the patient and their relatives, and in medical costs. Specific allergen immunotherapy, in correctly selected patients, prevents new sensitizations and reduces bronchial hyperreactivity associated with AR. Taking into account all these reasons, the National Allergy Committee of the Sociedad Argentina de Pediatría proposes current evidence based recommendations.
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