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Could seasonal allergy be a risk factor for acute rhinosinusitis in children?

Published online by Cambridge University Press:  18 January 2018

G Leo ,
C Incorvaia ,
A Cazzavillan ,
D Consonni  and
G V Zuccotti
G Leo*
Affiliation:
Pediatric Allergy and Respiratory Pathophysiology Unit, Department of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Italy
C Incorvaia
Affiliation:
Cardiac/Pulmonary Rehabilitation Unit, Azienda Socio Sanitaria Territoriale Gaetano Pini/Centro Traumatologico Ortopedico, Milan, Italy
A Cazzavillan
Affiliation:
Department of Pediatric Otorhinolaryngology, Vittore Buzzi Children's Hospital, Milan, Italy
D Consonni
Affiliation:
Epidemiology Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca’ Granda – Ospedale Maggiore Policlinico, Milan, Italy
G V Zuccotti
Affiliation:
Department of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Italy
*
Address for correspondence: Dr Gualtiero Leo, Pediatric Allergy and Respiratory Pathophysiology Unit, Department of Pediatrics, University of Milan, Via Castelvetro 32, 20154 Milan, Italy Fax: +39 02 57995741 E-mail: gualtiero.leo@asst-fbf-sacco.it.
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Abstract

Objective:

To evaluate the incidence of acute rhinosinusitis in children with grass pollen induced rhinitis during the period of grass pollinosis.

Methods:

Children with nasal symptoms from grass pollen induced rhinitis but without rhinosinusitis symptoms were selected. Their parents were asked to complete a diary during pollen exposure to report nasal symptoms and drugs used daily. When rhinosinusitis was suspected, the confirmatory diagnosis of acute rhinosinusitis was made by fibro-endoscopy. Children without inhalant allergy served as controls.

Results:

Seventeen out of 242 children (7.0 per cent) had a diagnosis of acute rhinosinusitis, confirmed by fibro-endoscopy, during grass pollination, compared to 3 out of 65 (4.6 per cent) in the control group (p = 0.49). Among allergic children, those with acute rhinosinusitis had symptoms for a greater number of days and/or a higher symptoms score than children without acute rhinosinusitis.

Conclusion:

Children with grass pollen induced rhinitis during exposure to pollen have an incidence of endoscopically confirmed acute rhinosinusitis comparable to non-allergic children. This suggests that grass pollen induced rhinitis is a negligible risk factor for acute rhinosinusitis.

Keywords

SinusitisSeasonal Allergic RhinitisChildrenEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 150 - 153
Copyright
Copyright © JLO (1984) Limited 2018 

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References

1 Fokkens, WJ, Lund, VJ, Mullol, J, Bachert, C, Alobid, I, Baroody, F et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol Suppl 2012;23:1–298.Google Scholar
2 Hoffmans, R, Schermer, T, van der Linde, K, Bor, H, van Boven, K, van Weel, C et al. Rhinosinusitis in morbidity registrations in Dutch General Practice: a retro-spective case-control study. BMC Fam Pract 2015;16:120.Google Scholar
3 Uijen, JH, Bindels, PJ, Schellevis, FG, van der Wouden, JC. ENT problems in Dutch children: trends in incidence rates, antibiotic prescribing and referrals 2002–2008. Scand J Prim Health Care 2011;29:75–9.Google Scholar
4 Weinmayr, G, Forastiere, F, Weiland, SK, Rzehak, P, Abramidze, T, Annesi-Maesano, I et al. ; ISAAC Phase Two Study Group. International variation in prevalence of rhinitis and its relationship with sensitisation to perennial and seasonal allergens. Eur Respir J 2008;32:1250–61.Google Scholar
5 Leo, G, Piacentini, E, Incorvaia, C, Consonni, D, Frati, F. Chronic rhinosinusitis and allergy. Pediatr Allergy Immunol 2007;18(suppl 18):19–21.Google Scholar
6 Dreborg, S, Backman, A, Basomba, A, Bousquet, J, Dieges, P, Malling, HJ, eds. Skin tests used in type I allergy testing position paper. Sub-Committee on Skin Tests of the European Academy of Allergology and Clinical Immunology. Allergy 1989;44(suppl 10):1–59.Google Scholar
7 Rachelefsky, GS, Goldberg, M, Katz, RM, Boris, G, Gyepes, MT, Shapiro, MJ et al. Sinus disease in children with respiratory allergy. J Allergy Clin Immunol 1978;61:310–14.Google Scholar
8 Savolainen, S. Allergy in patients with acute maxillary sinusitis. Allergy 1989;44:116–22.Google Scholar
9 Furukawa, CT. The role of allergy in sinusitis in children. J Allergy Clin Immunol 1992;90:515–17.Google Scholar
10 Nguyen, KL, Corbett, ML, Garcia, DP, Eberly, SM, Massey, EN, Le, HT et al. Chronic sinusitis among pediatric patients with chronic respiratory complaints. J Allergy Clin Immunol 1993;92:824–30.Google Scholar
11 Iwens, P, Clement, PA. Sinusitis in allergic patients. Rhinology 1994;32:65–7.Google Scholar
12 Dykewicz, MS, Fineman, S. Executive Summary of Joint Task Force Practice Parameters on Diagnosis and Management of Rhinitis. Ann Allergy Asthma Immunol 1998;81:463–8.Google Scholar
13 Leo, G, Piacentini, E, Incorvaia, C, Consonni, D, Frati, F. Chronic sinusitis and atopy: a cross-sectional study. Eur Ann Allergy Clin Immunol 2006;38:361–3.Google ScholarPubMed
14 Sedaghat, AR, Phipatanakul, W, Cunningham, MJ. Prevalence of and associations with allergic rhinitis in children with chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 2014;78:343–7.Google Scholar
15 Ahn, JC, Kim, JW, Lee, CH, Rhee, CS. Prevalence and risk factors of chronic rhinosinusitus, allergic rhinitis, and nasal septal deviation: results of the Korean National Health and Nutrition Survey 2008–2012. JAMA Otolaryngol Head Neck Surg 2016;142:162–7.Google Scholar
16 Tint, D, Kubala, S, Toskala, E. Risk factors and comorbidities in chronic rhinosinusitis. Curr Allergy Asthma Rep 2016;16:16.Google Scholar
17 Stevens, WW, Peters, AT, Hirsch, AG, Nordberg, CM, Schwartz, BS, Mercer, DG et al. Clinical characteristics of patients with chronic rhinosinusitis with nasal polyps, asthma, and aspirin-exacerbated respiratory disease. J Allergy Clin Immunol Pract 2017;5:1061–70.CrossRefGoogle ScholarPubMed
18 Lin, SW, Wang, YH, Lee, MY, Ku, MS, Sun, HL, Lu, KH et al. Clinical spectrum of acute rhinosinusitis among atopic and nonatopic children in Taiwan. Int J Pediatr Otorhinolaryngol 2012;76:70–5.Google Scholar