eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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SCImago Journal & Country Rank
2/2023
vol. 40
 
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abstract:
Original paper

The aspects of local allergic rhinitis in Polish children and adolescents

Andrzej Bożek
1, 2
,
Renata Kozłowska
1
,
Paweł Sybila
1
,
Martyna Miodońska
1
,
Agata Mędrala
1
,
Aleksandra Foks-Ciekalska
1
,
Beata Ignasiak
2

  1. Clinical Department of Internal Medicine, Dermatology and Allergology in Zabrze, Medical University of Silesia in Katowice, Poland
  2. Allergy Outpatient Clinic, Świętochłowice, Poland
Adv Dermatol Allergol 2023; XL (2): 321-325
Online publish date: 2023/01/19
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Introduction:
Local allergic rhinitis (LAR) is one of the endotypes of rhinitis which occurs commonly in different age groups.

Aim:
To present the occurrence and characteristics of LAR in Polish children and adolescents.

Material and methods:
In the study protocol, three hundred sixty-one patients aged 5–17 with chronic rhinitis were included from 8 centres in Poland. Medical history and diagnostic procedures were performed with aeroallergens: skin prick tests, allergen-specific serum IgE and nasal provocation tests. In addition to LAR, allergic rhinitis (AR), dual allergic rhinitis (DUAL) and non-allergic rhinitis (NAR) were explored and compared.

Results:
LAR was confirmed in 21% of patients, systemic allergic rhinitis (SAR) in 43.9%, DUAL in 9.4% and NAR in 33.9% of patients. Based on nasal provocation test (NPT), allergy to HDM prevailed in the LAR group (68%), grass in the SAR group (58%), and grass and HDM in the DUAL group (32% and 64%). Girls were prevalent in the LAR group, and severe rhinitis and asthma were more common than other endotypes (p < 0.05).

Conclusions:
LAR is a common disease in children and adolescents and is often associated with severe rhinitis and frequently coexists with asthma.

keywords:

local allergic rhinitis, IgE, allergy

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