Allergic Rhinitis by M. Kowalski

By M. Kowalski

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Marcucci F, Frati F, Bernardini R, Novembre E, Barbato A, Pecora S. Effects on inflammation parameters of a double blind, placebo controlled one year course of SLIT in children monosensitized to mites. Allergy 2003; 58:657–662. Martin-Fotecha A, Sebastiani S, Hopken U, Uguccioni M, Lipp M, et al. Regulation of dendritic cell migration to the draining lymph node: impact on T lymphocyte traffic and priming. J Exp Med 2003; 198:615–621. Mçsges R, Klimek L. Todays allergic rhinitis patients are different: new factors that may play a role.

The majority of children suffer from both conditions from the early childhood. From the infancy they experience waterish nasal discharge or congestion all over the year, frequently unrelated to day care respiratory infections. Later in childhood they present with wheezing episodes, cough or asthma that deserve more attention and investigations. , 2009) Usually, the allergic background of the nasal symptoms has been revealed many years after their occurrence. From our study it is evident that delay in diagnosis of asthma is around 4,5 years and of allergic rhinitis more than 5,7 years.

In addition, AR is commonly associated with other respiratory diseases, and the cost resulting from these comorbidities increases even more the socioeconomic impact of the disease. , 2010) Not less important conclusion that we made has been that prevalence rate has been higher in urban than rural areas except in certain villages near by large airpollutants (power stations and chemical industry). This is the conclusion that leads us to multifactorial origin of the rhinitis in childhood and particularly for the youngest ages seems to be difficult to distinguish allergic from nonallergic rhinitis.

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