scholarly journals Study of Allergic Rhinitis in Childhood

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Dimitrios G. Balatsouras ◽  
George Koukoutsis ◽  
Panayotis Ganelis ◽  
Alexandros Fassolis ◽  
George S. Korres ◽  
...  

Allergic rhinitis is common among children and quite often represents a stage of the atopic march. Although sensitization to food and airborne allergens may appear in infancy and early childhood, symptoms of the disease are usually present after age 3. The aim of this study was to determine the most frequent food and indoor and outdoor respiratory allergens involved in allergic rhinitis in children in the region of Piraeus. The study was performed in the outpatient clinic of otolaryngologic allergy of a general hospital. Fifty children (ranged 6–14 ) with symptoms of allergic rhinitis and positive radioallergosorbent test (RAST) for IgE antibodies or skin prick tests were included in the study. Thirty six (72%) of the subjects of the study had intermittent allergic rhinitis. The most common aeroallergens determined were grass pollens and Parietaria, whereas egg and milk were the food allergens identified. The detection of indoor and outdoor allergens in the region of Piraeus, based on skin prick tests and RAST tests, showed high incidence of grasses and food allergens, which is similar to other Mediterranean countries.

1970 ◽  
Vol 17 (2) ◽  
pp. 117-120 ◽  
Author(s):  
Mohammad Shah Kamal ◽  
Khabir Uddin Ahmed ◽  
Parvez Humayun ◽  
Taufiq Atiq ◽  
Anwar Hossain ◽  
...  

Objective: To investigate the role of allergy in nasal polyposis. Methods: 60 patients of nasal polyposis were selected randomly in a multicentric prospective trial from July 2006 to July 2008. Data were collected from the patient by personal interview, clinical examination and laboratory tests in a prescribed protocol. Socio-demographic character and presentation of the samples were studied and according to the symptoms of allergy those were submitted to skin pick test with a large series of seasonal and perennial airborne allergens. Results were presented in a tabulated form. Results: The incidence of nasal polyposis was highest among the people of 5th decade (40%) with male predominance (53.33%). The majority of the patients came from rural area (76.67%) and most of them were farmer (50%) and came from relatively poor class (73.33%). All the patients presented with significant nasal obstruction (100%). Next common presentations were running nose 90%, headache 80%, sneezing 70% and nasal itching 40%. Severity of symptoms increased with the exposure of national allergens (20%), food allergens (30%) and drugs (3.33%). 10% of patients were suffering from bronchial asthma. 20% patients with nasal polyposis were positive on Skin prick tests(SPT) with airborne allergens. A review of the clinical histories of SPT-positive patients revealed the presence of obstructive rhinitis and chronic rhinorrhea in most cases, whereas acute symptoms, such as sneezing and itching, were reported by a minority of subjects. Conclusion: Clinically evident respiratory allergies, particularly to perennial airborne allergens, play a relevant role in the pathogenesis of nasal polyposis. Key words: Allergic rhinitis; nasal polyposis. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8851 BJO 2011; 17(2): 117-120


Author(s):  
Abbas Dabbaghzadeh ◽  
Javad Ghaffari ◽  
Jamshid Yazdani-Charati ◽  
Marziyeh Mohammadi Kordkheyli ◽  
Fatemeh Pouresmaeil

Background and Aims: Allergic disorders such as asthma, urticaria, eczema, and allergic rhinitis are common worldwide, and allergens are the most common etiology and exacerbating factors. So, This study aimed to find the allergens in these patients with skin prick tests. Materials and Methods: All the allergic cases referred to an allergic clinic in the north of Iran were visited by an allergist and clinical immunologist. Based on patient history, physical examination, and diagnosis, we select food allergens and aeroallergens. A standard skin prick test was performed on all patients, and all data was then analyzed SPSS 20. Results: Two thousand one hundred and twenty-eight cases entered the study with a mean age of 27.65 ± 15.52 years old. 1235 (58.04%) females and 893 males (41.96%) participated in this study. Prevalence of allergic rhinitis, asthma, urticaria, and eczema were 717 (33.7%), 611 (28.8%), 550 (25.8%), and 250 (11.7%), respectively. The most common aeroallergens were Dermatophagoides farinae (75.9%), Dermatophagoides pteronyssinus  (65.4%), feather (56.1%), and Candida (51.1%), respectively, in all patients. The most common food allergens were egg white (31.1%), cacao (29.7%), and egg yolk (28.9%), respectively, in all cases. Conclusion: Both aeroallergens and food allergens were the most common in all allergens by skin prick test. Therefore, it is important to find the relationship between sensitization and allergy.


1970 ◽  
Vol 14 (2) ◽  
pp. 66-70 ◽  
Author(s):  
M Alamgir Chowdhury ◽  
ARM Lutful Kabir ◽  
Md Monjurul Alam

Bangladesh is a developing country with 150 million population. About 20 to 25% of population is suffering from different types of allergic disorder. Few studies were carried out on asthma, allergic rhinitis and atopic conditions in Bangladesh. There are many indoor, outdoor, occupational and food allergens that trigger allergy. More over many pollutants, allergens are still unidentified in the poor and developing countries due to fund constrains for research activities. In addition to multiple known and unknown allergens, over population, un-hygienic living, poverty, lack of education and awareness, negligence to take treatment leads to increasing incidence of these diseases. Diagnostic facilities are yet depending on history and clinical examination for majority of our patients. Skin prick tests and IgE estimation are not available outside capital Dhaka as well as these are expensive too. Majority of our population can't afford them. Asthma and allergies are affecting the quality of life that has impact on national economy and development a lot. Treatment modalities and drugs available with the costs in our country are discussed. More evidence based studies and dissemination of ARIA, WHO and other guidelines to health professionals will be needed to improve the situation. Key words: Asthma, Allergic Rhinitis, Atopic DermatitisDOI: 10.3329/bjo.v14i2.3284 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 66-70


2004 ◽  
Vol 124 (5) ◽  
pp. 616-620 ◽  
Author(s):  
Mattias Fransson ◽  
Mikael Benson ◽  
Göran Wennergren ◽  
Lars-Olaf Cardell

2020 ◽  
pp. 4059-4066
Author(s):  
Stephen R. Durham ◽  
Hesham A. Saleh

Allergic rhinitis affects more than 20% of the population of Westernized countries and has a significant impact on quality of life and school/work performance. Important environmental factors include tree and grass pollens (seasonal allergic rhinitis); house dust mite and domestic pets, most often cats (perennial allergic rhinitis); and a variety of occupational exposures (occupational rhinitis). Pathogenesis involves activation of type 2 (Th2) lymphocytes resulting in IgE antibody production and tissue eosinophilia. Immediate symptoms (itching, sneezing, and watery nasal discharge) result from allergen cross-linking adjacent IgE molecules on the surface of mast cells in the nasal mucosa, resulting in the release of histamine and tryptase, and generation of bradykinin. Diagnosis is usually straightforward and based on the history, examination, and (when indicated) the results of skin prick tests and/or serum allergen-specific IgE levels.


2019 ◽  
Vol 34 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Kübra Çoban ◽  
Alper Köycü ◽  
Erdinc Aydın

Background Lingual tonsils, part of the Waldeyers’ Ring, are located in base of the tongue. They are commonly observed in childhood, due to increased immunological activity. Several factors such as laryngopharyngeal reflux, younger age, smoking, and obesity are associated with hypertrophy of lingual tonsils (LTH) in adulthood. However, the relation between allergic rhinitis and LTH is not clearly highlightened in the literature so far. Objective To investigate the role of allergic rhinitis in the development of LTH. Methods Adult patients who were diagnosed with allergic rhinitis were included in the study group. The control group consisted of age- and sex-match healthy volunteers. Complete otorhinolaryngology examination including fiberoptic endoscopic evaluation was performed to both groups. Blood samples were obtained for total immunglobulin E levels, and skin prick tests were performed to both groups. Patients with allergy complaints and positive skin prick tests were included in the study group, while healthy volunteers with negative skin prick tests were enrolled in the control group. The grading for LTH was achieved by a physician who was blind to the study. Results The incidence of LTH was significantly higher in the study group when compared to the control group ( P = .001). Similarly, the incidence of grade 3 LTH was significantly higher in the study group compared to the controls ( P = .002). Conclusion According to our results, LTH is more frequently observed in patients with allergic rhinitis. Grade 3 representing larger LTH is more commonly seen in patients with allergic rhinitis.


2018 ◽  
Vol 23 (2) ◽  
pp. 206
Author(s):  
Erhan ZEYTUN ◽  
Salih DOĞAN ◽  
Edhem Ünver ◽  
Fatih ÖZÇÜÇEK

This study was conducted to determine the sensitivity to Dermatophagoides pteronyssinus (Trouessart) and D. farinae Hughes with skin prick tests (SPT) and serologic tests in patients with allergic rhinitis (AR), and to specifically search for those mites in homes of patients. A total of 51 participants, (23 patients and 28 controls) were utilized. Skin-prick tests with D. pteronyssinus and D. farinae allergens were performed on all participants, and serum levels of allergen-specific lgE and total IgE were also measured. Dust samples were collected from homes of all participants and examined under a stereo microscope. 977 D. pteronyssinus (mean 44.4/g) and 24 D. farinae (mean 4.0/g) were isolated from the homes of patients, whereas 35 D. pteronyssinus (mean 4.4/g), and four D. farinae (mean 2.0/g) were isolated from the homes of the controls. Patients with D. pteronyssinus in their homes had 95.5% sensitivity to the species according to SPT and 27.3 according to IgE. Patients with D. farinae in their homes had 83.3% sensitivity to the species according to SPT, and 50% according to IgE. Dermatophagoides pteronyssinus sensitivity in the controls was detected as 12.5% according to SPT; however, D. farinae sensitivity was not detected according to both SPT and mite-specific IgE. Differences between patients and controls utilizing SPT results was statistically significant, but not when using mite-specific IgE results. As a result, it was determined that patients with AR in Erzincan province were sensitized to D. pteronyssinus and D. farinae, and that their homes contained those species. It may be helpful to consider these findings in clinical assessment of patients with AR, and also in treatment utilizing immunotherapy techniques.


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