Is allergic rhinitis a trivial disease?

Is allergic rhinitis a trivial disease?

Author Solé, Dirceu Autor UNIFESP Google Scholar
Camelo-Nunes, Inês Cristina Autor UNIFESP Google Scholar
Wandalsen, Gustavo Falbo Autor UNIFESP Google Scholar
Rosario Filho, Nelson Augusto Google Scholar
Sarinho, Emanuel C Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Federal University of Paraná Department of Pediatrics
Federal University of Pernambuco Department of Pediatrics
Abstract BACKGROUND: Asthma and rhinitis often coexist, which potentially increases the disease severity and can negatively impact a patients' quality of life. However, there are few reports based on data obtained from the International Study of Asthma and Allergies in Childhood examining asthma severity in combination with rhinitisrelated symptoms. OBJECTIVE: To demonstrate whether current rhinitis and current rhinoconjunctivitis are associated with the development of asthma or its increasing severity in Brazilian adolescents. METHODS: The prevalence of current asthma was correlated with the prevalence of current rhinitis and current rhinoconjunctivitis in adolescents (13 to 14 year olds) from 16 Brazilian centers (based on Spearman's rank correlation index). The influence of current rhinitis and current rhinoconjunctivitis on asthma presentation was also evaluated using the chi-squared test and was expressed as odds ratios with 95% confidence intervals (95%CI). RESULTS: A significant positive correlation was observed between the prevalence of current asthma and current rhinitis (rs = 0.82; 95%CI: 0.60-0.93, p< 0.0001) and between the prevalence of current asthma and current rhinoconjunctivitis (rs = 0.75; 95%CI: 0.47-0.89, p < 0.0001). Current rhinitis was associated with a significantly increased risk of current asthma and of more severe asthma. Similar results were observed for current rhinoconjunctivitis. CONCLUSION: In this epidemiologic study of Brazilian adolescents, the presence of current rhinitis and current rhinoconjunctivitis was associated with a high risk of developing asthma and increased asthma severity. The mutual evaluation of rhinitis and asthma is necessary to establish an adequate treatment plan.
Keywords Epidemiology
Asthma
Rhinitis
Rhinoconjunctivitis
ISAAC
Language English
Date 2011-01-01
Published in Clinics. Faculdade de Medicina / USP, v. 66, n. 9, p. 1573-1577, 2011.
ISSN 1807-5932 (Sherpa/Romeo, impact factor)
Publisher Faculdade de Medicina / USP
Extent 1573-1577
Origin http://dx.doi.org/10.1590/S1807-59322011000900012
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000297498400012
SciELO ID S1807-59322011000900012 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/6243

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