Skip to main content

Advertisement

SpringerLink
Log in

The study of co-morbid conditions in children with allergic rhinitis, from Mumbai, Maharashtra, India

  • Main Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Allergic rhinitis (AR), an allergen-induced inflammation of the nasal mucosa, is frequently associated with co-morbid conditions. It is important to recognize the onset and existence of these co-morbid conditions, for adequate treatment and prevention of the development of new allergen sensitizations and air-way hypersensitivities. The aim of our study was to determine the prevalence of co-morbid conditions associated with AR, in Indian children. We selected 65 consecutive children below the age of 18 years, who attended the Allergy and Asthma Clinic of our hospital, between March 1, 2005 to November 30, 2006 and compared them with the available literature. The most common co-morbid condition with AR was asthma (75.4%), followed by urticaria (33.9%), conjunctivitis (29.2%) and sinusitis (23.1%) in that order. Two patients (3.1%) each, had adenoid hypertrophy and nasal polyps. Psoriasis was seen in 4/65 (6.2%). Four patients (6.2%) were free from any co-morbid conditions as opposed to 61/65 (93.8%), who suffered from one to three co-morbid conditions each. Co-morbid conditions are a rule rather than an exception, the most common association being asthma. Asthma often is asymptomatic and routine PFT testing is valuable. The association of psoriasis is interesting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Simons FER (1999) Allergic rhinobronchitis: The asthma — allergic rhinitis link. J Allergy Clin Immunol 04:534–540

    Article  Google Scholar 

  2. Samir K Gupta & Subir K Dutta (2001) Nasobronchial Allergy or Allergic Rhinobronchitis; The Unified Concept: A Review with a Special Reference to India. Indian J Chest Dis Allied Sci 43:195

    Google Scholar 

  3. Gupta SK, Dutta SK (2000) Allergic rhinitis and asthma: The unified concept of nasobronchial allergy. Lung India 18:111–115

    Google Scholar 

  4. Mathur US, Singh V, Ramchandani GD, Virendra Singh (1993) Clinical profile of asthma in Rajasthan. Lung India 11(4):135–138

    Google Scholar 

  5. Gupta SK (1996) Clinical profile of bronchial asthma in eastern India: a prospective analysis of 7208 patients. Lung India 14(2):60–65

    Google Scholar 

  6. Schneider LC, Lester MR (1998) Atopic disease, rhinitis, conjunctivitis and upper respiratory infections. Cur Opin Pediat 10:539–547

    Article  CAS  Google Scholar 

  7. Slavin RG (1997) Nasal polyps and sinusitis. JAMA 278: 1849–1854

    Article  PubMed  CAS  Google Scholar 

  8. Huse IM, Hartz SC, Russel MW, Piercey G, Weiss S (1996) Allergic rhinitis may worsen asthma symptoms in children: the international asthma outcome registry (abstract). Am J Respir Crit Care Med 155:A860

    Google Scholar 

  9. Lin H, Boesel KM, Griffith DT, Prussin C, Foster B, Romero FA et al. (2004) Omalizumab rapidly deareases nasal allergic response & R.ceR1 on basophils. J Allergy Clin Immunol 113:297–302

    Article  PubMed  CAS  Google Scholar 

  10. Warner JO (2001) on behalf of the ETAC® Study Group. A double-blinded, randomized, placebo-controlled trial of cetirizine in preventing the onset of asthma in children with atopic dermatitis: 18 months’ treatment and 18 months’ post treatment follow-up. J Allergy Clin Immunol 108:929–937

    Article  PubMed  CAS  Google Scholar 

  11. Pizzichini E, Leff JA, Reif TF, Hendeles I, Boulet LP, Wei LX et al. (1999) Montelukast reduces airway eosinophilic inflammation in asthma: a randomized control trial. Eur Respir J 14:12–18

    Article  PubMed  CAS  Google Scholar 

  12. Settipane RJ, Hagy GVV, Settipane GA (1994) Long-term risk factors for developing asthma and allergic rhinitis: A 25-year follow follow-up study of college students. Allergy P 15:21–25

    Article  CAS  Google Scholar 

  13. Smith JM (1996) Epidemiology and natural history of asthma, allergic rhinitis and atopic dermatitis in Middelton E, Reed CE, Ellis EF Adkinson NF (Jr), Yungin JW. Ed Allergy: Principles and practice, 3rd ed. St Louis: CV Mosby 891–829

    Google Scholar 

  14. Howard PH (1999) Understanding the allergic patient — problems and perspective. In: An advance to antihistamine therapy. Hongkong. Scientific Communications 3

  15. Nakagomi T, Itaya H, Tominaga T et al. (1994) Is atopy increasing? Lancet 345:121–122

    Article  Google Scholar 

  16. Bousquet J, Van Cauwenberge PB, Khalatev N (2001) Aria Workshop group; WHO. Allergic rhinitis and its effect on asthma. J Allergy Clin Immunol 108:1A–14A, 15 (Suppl, 1) S147–S333

    Article  Google Scholar 

  17. Pherwani AV, Desai AG (1985) An analysis of skin prick test reactions to common allergens in asthmatic children in Bombay. Indian J Dis Chest 27:219–224

    CAS  Google Scholar 

  18. Ratageri VH, Kabra SK, Dwivedi SN, Seth V (2003) Factors associated with severe asthma: Indian Pediatrics 37: 1072–1082

    Google Scholar 

  19. Thiruvengadam KV, Kesavan CR, Ahmed B, Kumarswami V (1982) Bronchial reactivity in allergic rhinitis. Lung India 1:32–34

    Google Scholar 

  20. Landgren E, Braback L, Hedlint G, Rasmussen F (2006) Psoriasis in Swedish conscripts: time trend and association with T-helper 2-mediated disorders. British J of Dermatology 154(2):332

    Article  CAS  Google Scholar 

  21. Verghese BT, Ranjit Rajan (2000) Clinico-pathological correlation between allergic rhinitis; and bronchial asthma. The Journal of Laryngology and Otology 114:354–358

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dept of Allergy, P.D. Hinduja National Hospital, Veer Savarkar Marg, Mahim, Mumbai, 400 016, India

    Asha Pherwani

  2. P.D. Hinduja National Hospital, Veer Savarkar Marg, Mahim, Mumbai, 400 016, India

    Gauri Mankekar

  3. Dept of ENT, P.D. Hinduja National Hospital, Veer Savarkar Marg, Mahim, Mumbai, 400 016, India

    Kashmira Chavan

Authors
  1. Asha Pherwani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gauri Mankekar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kashmira Chavan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gauri Mankekar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pherwani, A., Mankekar, G. & Chavan, K. The study of co-morbid conditions in children with allergic rhinitis, from Mumbai, Maharashtra, India. Indian J Otolaryngol Head Neck S 59, 240–244 (2007). https://doi.org/10.1007/s12070-007-0070-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-007-0070-x

Keywords

Search

Navigation