The impact of co-existing seasonal allergic rhinitis caused by Japanese Cedar Pollinosis (SAR-JCP) upon asthma control status

被引：19
作者：
Hojo, Masayuki [1 ,3 ,4 ]
Ohta, Ken [2 ]
Iikura, Motoyasu [1 ]
Hirashima, Junko [1 ]
Sugiyama, Haruhito [1 ]
Takahashi, Kazuhisa [3 ,4 ]
机构：
[1] Natl Ctr Global Hlth & Med, Div Resp Med, Tokyo 1628655, Japan
[2] Natl Hosp Org Tokyo Hosp, Div Resp Med, Tokyo, Japan
[3] Juntendo Univ, Fac Med, Div Resp Med, Tokyo, Japan
[4] Grad Sch Med, Tokyo, Japan
来源：
ALLERGOLOGY INTERNATIONAL | 2015年 / 64卷 / 02期
关键词：
Allergic rhinitis; Asthma control test; Bronchial asthma; Japanese cedar pollinosis; SACRA questionnaire; BRONCHIAL-ASTHMA; PREVALENCE; GUIDELINE; DIAGNOSIS; QUESTIONNAIRE; NATIONWIDE; TRENDS;
D O I：
10.1016/j.alit.2014.10.002
中图分类号：
R392 [医学免疫学];
学科分类号：
100102 ;
摘要：
Background: Seasonal Allergic Rhinitis Caused by Japanese Cedar Pollinosis (SAR-JCP) is a most common allergic rhinitis, affecting about 40% in Japan, but the influence from SAR-JCP upon asthma is controversial. The purpose of this study is to investigate the effect of coexistence of SAR-JCP upon control status of asthma using SACRA (Self-Assessment of Allergic Rhinitis and Asthma Questionnaire). Methods: The design was prospective, single-center, observational study. Asthmatic patients were classified into 3 groups, patients without rhinitis, those with perennial rhinitis or those with SAR-JCP from the results of SACRA. The control status of asthma were evaluated by Visual Analog Scale (VAS) in SACRA and Asthma Control Test (ACT) score. They were evaluated twice, from September to January (nonpollenseason) and February to April (pollen-season) and compared. Results: 451 patients were enrolled and 325 cases (72%) were diagnosed as having comorbidity of rhinitis, among which 173 with only perennial rhinitis, while 152 with SAR-JCP. There was no significant difference in asthma control level measured by VAS and ACT score among 3 groups during nonpollenseason. The asthma control level measured by VAS (1.91-2.95) and ACT score (22.7-21.6) got worse during pollen-season among patients with SAR-JCP, even though 84% received treatment for rhinitis. Although it differed according to criteria, asthma control during pollen-season was impaired in 18-38% asthmatic patients with SAR-JCP. Conclusion: It is possible to minimize the influence of AR on asthma control by obtaining an accurate diagnosis and providing sufficient treatment for rhinitis. Copyright (C) 2014, Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.
引用
收藏
页码：150 / 155
页数：6
相关论文
共 22 条
  • [1] Adachi M, 2012, ALLERGOL IMMUNOL, V19, P1652
  • [2] Prevalence and rate of diagnosis of allergic rhinitis in Europe
    Bauchau, V
    Durham, SR
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2004, 24 (05) : 758 - 764
  • [3] Allergic rhinitis and its impact on asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA2LEN and AllerGen)
    Bousquet, J.
    Khaltaev, N.
    Cruz, A. A.
    Denburg, J.
    Fokkens, W. J.
    Togias, A.
    Zuberbier, T.
    Baena-Cagnani, C. E.
    Canonica, G. W.
    van Weel, C.
    Agache, I.
    Ait-Khaled, N.
    Bachert, C.
    Blaiss, M. S.
    Bonini, S.
    Boulet, L. -P.
    Bousquet, P. -J.
    Camargos, P.
    Carlsen, K. -H.
    Chen, Y.
    Custovic, A.
    Dahl, R.
    Demoly, P.
    Douagui, H.
    Durham, S. R.
    van Wijk, R. Gerth
    Kalayci, O.
    Kaliner, M. A.
    Kim, Y. -Y.
    Kowalski, M. L.
    Kuna, P.
    Le, L. T. T.
    Lemiere, C.
    Li, J.
    Lockey, R. F.
    Mavale-Manuel, S.
    Meltzer, E. O.
    Mohammad, Y.
    Mullol, J.
    Naclerio, R.
    Hehir, R. E. O.
    Ohta, K.
    Ouedraogo, S.
    Palkonen, S.
    Papadopoulos, N.
    Passalacqua, G.
    Pawankar, R.
    Popov, T. A.
    Rabe, K. F.
    Rosado-Pinto, J.
    [J]. ALLERGY, 2008, 63 : 8 - +
  • [4] Trends in the prevalence of asthma and allergic rhinitis in Italy between 1991 and 2010
    de Marco, R.
    Cappa, V.
    Accordini, S.
    Rava, M.
    Antonicelli, L.
    Bortolami, O.
    Braggion, M.
    Bugiani, M.
    Casali, L.
    Cazzoletti, L.
    Cerveri, I.
    Fois, A. G.
    Girardi, P.
    Locatelli, F.
    Marcon, A.
    Marinoni, A.
    Panico, M. G.
    Pirina, P.
    Villani, S.
    Zanolin, M. E.
    Verlato, G.
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2012, 39 (04) : 883 - 892
  • [5] Examination, diagnosis and classification for Japanese allergic rhinitis: Japanese guideline
    Fujieda, Shigeharu
    Kurono, Yuichi
    Okubo, Kimihiro
    Ichimura, Keiichi
    Enomoto, Tadao
    Kawauchi, Hideyuki
    Masuyama, Keisuke
    Goto, Minoru
    Suzaki, Harumi
    Okamoto, Yoshitaka
    Takenaka, Hiroshi
    [J]. AURIS NASUS LARYNX, 2012, 39 (06) : 553 - 556
  • [6] *GINA, NHLBI WHO WORKSH REP
  • [7] Clinical usefulness of a guideline-based screening tool for the diagnosis of allergic rhinitis in asthmatics: The Self Assessment of Allergic Rhinitis and Asthma questionnaire
    Hojo, Masayuki
    Ohta, Ken
    Iikura, Motoyasu
    Mizutani, Tomonori
    Hirashima, Junko
    Sugiyama, Haruhito
    [J]. RESPIROLOGY, 2013, 18 (06) : 1016 - 1021
  • [8] The prevalence of rhinitis and its association with smoking and obesity in a nationwide survey of Japanese adults
    Konno, S.
    Hizawa, N.
    Fukutomi, Y.
    Taniguchi, M.
    Kawagishi, Y.
    Okada, C.
    Tanimoto, Y.
    Takahashi, K.
    Akasawa, A.
    Akiyama, K.
    Nishimura, M.
    [J]. ALLERGY, 2012, 67 (05) : 653 - 660
  • [9] Frequency and impact of allergic rhinitis in asthma patients in everyday general medical practice: a French observational cross-sectional study
    Magnan, A.
    Meunier, J. P.
    Saugnac, C.
    Gasteau, J.
    Neukirch, F.
    [J]. ALLERGY, 2008, 63 (03) : 292 - 298
  • [10] The global burden of asthma: executive summary of the GINA Dissemination Committee Report
    Masoli, M
    Fabian, D
    Holt, S
    Beasley, R
    [J]. ALLERGY, 2004, 59 (05) : 469 - 478
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