Is allergic rhinitis a trivial disease?

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 severit...

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Main Authors: Dirceu Solé, Inês Cristina Camelo-Nunes, Gustavo F Wandalsen, Nelson A Rosário, Emanuel C Sarinho
Format: Article
Language:English
Published: Elsevier España 2011-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000900012
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author Dirceu Solé
Inês Cristina Camelo-Nunes
Gustavo F Wandalsen
Nelson A Rosário
Emanuel C Sarinho
author_facet Dirceu Solé
Inês Cristina Camelo-Nunes
Gustavo F Wandalsen
Nelson A Rosário
Emanuel C Sarinho
author_sort Dirceu Solé
collection DOAJ
description 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.
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spelling doaj.art-05febb912e42458faf8eb57e18494f842022-12-22T03:37:52ZengElsevier EspañaClinics1807-59321980-53222011-01-016691573157710.1590/S1807-59322011000900012Is allergic rhinitis a trivial disease?Dirceu SoléInês Cristina Camelo-NunesGustavo F WandalsenNelson A RosárioEmanuel C SarinhoBACKGROUND: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000900012EpidemiologyAsthmaRhinitisRhinoconjunctivitisISAAC
spellingShingle Dirceu Solé
Inês Cristina Camelo-Nunes
Gustavo F Wandalsen
Nelson A Rosário
Emanuel C Sarinho
Is allergic rhinitis a trivial disease?
Clinics
Epidemiology
Asthma
Rhinitis
Rhinoconjunctivitis
ISAAC
title Is allergic rhinitis a trivial disease?
title_full Is allergic rhinitis a trivial disease?
title_fullStr Is allergic rhinitis a trivial disease?
title_full_unstemmed Is allergic rhinitis a trivial disease?
title_short Is allergic rhinitis a trivial disease?
title_sort is allergic rhinitis a trivial disease
topic Epidemiology
Asthma
Rhinitis
Rhinoconjunctivitis
ISAAC
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000900012
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