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Rhinitis symptoms and quality of life in patients with chronic perennial rhinitis treated with desloratadine

Published online by Cambridge University Press:  19 July 2007

H C K Lam*
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong
M C F Tong
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong
C A Van Hasselt
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong
*
Address for correspondence: Dr Henry Chuen Kwong Lam, Division of Otorhinolaryngology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong. Fax: (852) 26466312 E-mail: henrycklam@yahoo.com.hk

Abstract

Objective:

To evaluate the outcome and the change in quality of life of patients with chronic rhinitis after treatment with desloratadine.

Study design:

A prospective, open-label, non-blinded, non-randomised study of patients in a secondary and tertiary ENT referral centre.

Methods:

Chinese patients with chronic rhinitis were recruited. The patients were assessed by a questionnaire that included rhinitis symptoms score and SF-36 health survey components. Endoscopic assessment was performed with a rigid nasoendoscope and scored according to the modified endoscopic appearance score of Lund and Kennedy. A 12-week course of desloratadine 5 mg daily was prescribed. Patients were re-evaluated after treatment. A total of 47 subjects completed the study.

Results:

There were significant reductions in median rhinitis symptoms score, from six to five (p < 0.001), and in median endoscopic appearance score, from five to three (p < 0.001). Patients' general health perception was also improved after treatment (p == 0.022).

Conclusion:

Desloratadine may be an effective treatment which provides symptomatic relief and improves the quality of life in patients with chronic rhinitis.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Naclerio, R, Solomon, W. Rhinitis and inhalant allergens. JAMA 1997;278:1842–8CrossRefGoogle ScholarPubMed
2 Berger, WE, Schenkel, EJ, Mansfield, LE. Desloratadine Study Group. Safety and efficacy of desloratadine 5mg in asthma patients with seasonal rhinitis and nasal congestion.. Ann Allergy Asthma Immunol 2002;89:485–91CrossRefGoogle Scholar
3 Bachert, C. Decongestant efficacy of desloratadine in patients with seasonal allergic rhinitis. Allergy 2001;56 (suppl 65):1420CrossRefGoogle ScholarPubMed
4 Corren, J, Salmun, LM. Quality of life in patients with seasonal allergic rhinitis is improved with desloratadine. Allergy 2000;5:193–4Google Scholar
5 Lebel, B, Bousquet, J, Morel, A, Chanal, I, Godard, P, Michel, FB. Correlation between symptoms and the threshold for release of mediators in nasal secretions during nasal challenge with grass-pollen grains. J Allergy Clin Immunol 1988;5:869–77CrossRefGoogle Scholar
6 Ware, JE, Snow, KK, Kosinski, M, Gandek, B. SF36 Health Survey – Manual and Intrepretation Guide. Boston: The Health Institute, 1993Google Scholar
7 Lam, CLK, Gandek, B, Ren, XS, Chan, MS. Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 health survey. J Clin Epidemiol 1998;51:1139–47CrossRefGoogle ScholarPubMed
8 Lund, VJ, Kennedy, DW. Quantification for staging sinusitis. The Staging and Therapy Group. Ann Otol Rhinol Laryngol (Suppl) 1995;167(suppl):1721CrossRefGoogle ScholarPubMed
9 Genovese, A, Patella, V, De Crescenzo, G, De Paulis, A, Spadaro, G, Marone, G. Loratadine and Desethoxylcarbonyl-loratadine inhibit the immunological release of mediators from human Fc epsilon RI+ cells. Clin Exp Allergy 1997;27:559–67CrossRefGoogle ScholarPubMed
10 Lippert, U, Kruger-Krasagakes, S, Moller, A, Kiessling, U, Czarnetzki, BM. Pharmacological modulation of IL-6 and IL-8 secretion by the H1-antagonist decarboethoxy-loratadine and dexamethasone by human mast and basophilic cell lines. Exp Dermatol 1995;4:272–6CrossRefGoogle ScholarPubMed
11 Kleine-Tebbe, J, Josties, C, Frank, G, Stalleicken, D, Buschauer, A, Schunack, W et al. Inhibition of IgE- and non-IgE-mediated histamine release from from human basophil leukocytes in vitro by a histamine H1-antagonist, desethoxycarbonyl-loratadine. J Allegy Clin Immunol 1994;93:494500CrossRefGoogle ScholarPubMed
12 Vignola, AM, Crampette, L, Mondain, M, Sauvere, G, Czarlewski, W, Bosquet, J et al. Inhibitory activity of loratadine and descarboethoxyloratadine on expression of ICAM-1 and HLA-DR by nasal epithelial cells. Allergy 1995;50:200–3CrossRefGoogle ScholarPubMed
13 Geha, RS, Meltzer, EO. Desloratadine: A new, nonsedating, oral antihistamine. J Allergy Clin Immunol 2001;107:751–62CrossRefGoogle ScholarPubMed
14 Molet, S, Gosset, P, Lassalle, P, Czarlewski, W, Tonnel, AB. Inhibitory activity of loratadine and descarboxyethoxyloratadine on histamine-induced activation of endothelial cells. Clin Exp Allergy 1997;27:1167–74CrossRefGoogle ScholarPubMed
15 Lam, CLK, Lauder, IJ, Lam, TP, Gandek, B. Population based norming of the Chinese (HK) version of the SF-36 health survey. Hong Kong Practitioner 1999;21:460–70Google Scholar