Allergic Rhinitis Pertaining to Adolescents

  • Mervat NassefEmail author
  • Marc L. Rubin


Allergic rhinitis can present significant challenges to adolescents who are transitioning to independent living. Good control of the symptoms of allergic rhinitis will prevent any negative impact on both daytime activities and sleep quality. When not controlled, the resulting effect on cognitive skills, motor function, and interpersonal relationships can lead to a poor quality of life. Developing the knowledge and skills necessary to transition safely into the new “home” and self-management requires both guidance and tools to achieve success. A guide for teens with allergic rhinitis who are transitioning toward independent living is presented.


Allergic rhinitis Adolescence Gender differences Cognitive Psychosocial Treatment Housing transition Quality of life (QOL) Essential documents Teen 


  1. 1.
    Brozek J, Bousquet J, Baena-Cagnani C, Bonini S, Canonica GW, Casale T, Gerth van Wijk R, Ohta K, Zuberbier T, Schunemann HJ. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010;126:466–76.CrossRefPubMedGoogle Scholar
  2. 2.
    Valls-Mateus M, Marino-Sanchez F, Ruiz-Echevarria K, Cardenas-Escalante P, Jimenez-Feijoo R, Blasco-Lozano J, Giner-Munoz MT, Haag O, Alobid I, Plaza Martin AM, Mullol J. Nasal obstructive disorders impair health-related quality of life in adolescents with persistent allergic rhinitis: a real-life story. Pediatr Allergy Immunol. 2017;28(5):438–45.CrossRefPubMedGoogle Scholar
  3. 3.
    Juniper EF, Guyatt GH, Dolovich J. Assessment of quality of life in adolescents with allergic rhinoconjunctivitis: development and testing of a questionnaire for clinical trials. J Allergy Clin Immunol. 1994;93:413–23.CrossRefPubMedGoogle Scholar
  4. 4.
    Nolte H, Nepper-Christensen S, Backer V. Unawareness and undertreatment of asthma and allergic rhinitis in a general population. Respir Med. 2006;100(2):354–62.CrossRefPubMedGoogle Scholar
  5. 5.
    Sly RM, Bierman CW, Pearlman DS. Allergic diseases of infancy, childhood and adolescence. Philadelphia: Saunders; 1980. p. 746–50.Google Scholar
  6. 6.
    Vuurman EF, van Veggel LM, Uiterwijk MM, Leutner D, O’Hanlon JF. Seasonal allergic rhinitis and antihistamine effects on children’s learning. Ann Allergy. 1993;71(2):121–6.PubMedGoogle Scholar
  7. 7.
    Vuurman EF, van Veggel LM, Sanders RL, Muntjewerff ND, O’Hanlon JF. Effects of Semprex-D and diphenhydramine on learning in young adults with seasonal allergic rhinitis. Ann Allergy Asthma Immunol. 1996;76(3):247–52.CrossRefPubMedGoogle Scholar
  8. 8.
    Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, Lang DM, Nicklas RA, Oppenheimer J, Portnoy JM, Randolph CC, Schuller D, Spector SL, Tilles SA. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122:S1–84.CrossRefPubMedGoogle Scholar
  9. 9.
    Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescents: a review and meta-analysis of age, region and sleep. Sleep Med. 2011;5:110–8.CrossRefGoogle Scholar
  10. 10.
    Wolfson AR, Spaulding NL, Dandrow C, Baroni EM. Middle school start times: the importance of a good night’s sleep for young adolescents. Behav Sleep Med. 2007;5:194–209.CrossRefPubMedGoogle Scholar
  11. 11.
    Tsai LL, Li SP. Sleep patterns in college students: gender and grade differences. J Psychosom Res. 2004;56:231–7.CrossRefPubMedGoogle Scholar
  12. 12.
    Thompson A, Sardana N, Craig T. Sleep impairment and daytime sleepiness in patients with allergic rhinitis: the role of congestion and inflammation. Ann Allergy Asthma Immunol. 2013;111:446–51.CrossRefPubMedGoogle Scholar
  13. 13.
    Meltzer EO, Blaiss MS, Derebery MJ. Burden of allergic rhinitis: results from the pediatric allergies in America survey. J Allergy Clin Immunol. 2009;124(3 Suppl):S43–70.CrossRefPubMedGoogle Scholar
  14. 14.
    Blaiss M, Reigel T, Philpot E. A study to determine the impact of rhinitis on sufferers’ sleep and daily routine [abstract]. J Allergy Clin Immunol. 2005;115:S197.CrossRefGoogle Scholar
  15. 15.
    Touitou Y. Adolescent sleep misalignment: a chronic jet lag and a matter of public health. J Physiol Paris. 2013;107:323–6.CrossRefPubMedGoogle Scholar
  16. 16.
    Mansfield LE, Posey CR. Daytime sleepiness and cognitive performance improve in seasonal allergic rhinitis treated with intranasal fluticasone propionate. Allergy Asthma Proc. 2007;28:226–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Bender BG, Milgrom H. Comparison of the effects of fluticasone propionate aqueous nasal spray and loratadine on daytime alertness and performance in children with seasonal allergic rhinitis. Ann Allergy Asthma Immunol. 2004;92:344e349.CrossRefGoogle Scholar
  18. 18.
    Centers for Disease Control and Prevention. Web-based injury statistics query and reporting system (WISQARS) [Online]. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2015.Google Scholar
  19. 19.
    Vuurman EF, Vuurman LL, Lutgens I, Kremer B. Allergic rhinitis is a risk factor for traffic safety. Allergy. 2014;69(7):906–12.CrossRefPubMedGoogle Scholar
  20. 20.
    Pasko P, Rodacki T, Domagala-Rodacka R, Palimonka K, Marcinkowska M, Owczarek D. Second generation H1-antihistamines interaction with food and alcohol-a systemic review. Biomed Pharmacother. 2017;93:27–39.CrossRefPubMedGoogle Scholar
  21. 21.
    Vuurman EF, Rikken GH, Muntjewerff ND, de Halleux F, Ramaekers JG. Effects of desloratadine, diphenhydramine, and placebo on driving performance and psychomotor performance measurements. Eur J Clin Pharmacol. 2004;60:307–13.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PediatricsColumbia University Medical CenterNew YorkUSA
  2. 2.Department of PediatricsColumbia University College of Physicians and SurgeonsNew YorkUSA
  3. 3.Osco DrugCrystal LakeUSA
  4. 4.Chicago Asthma ConsortiumChicagoUSA

Personalised recommendations