Diagnosis and Management of Allergic Rhinitis in Children

被引:44
作者
Brown, Timothy [1 ,2 ]
机构
[1] Ann & Robert H Lurie Childrens Hosp Chicago, Allergy & Immunol, Chicago, IL 60611 USA
[2] Northwestern Univ, Feinberg Sch Med, Pediat, Evanston, IL 60208 USA
来源
PEDIATRIC ANNALS | 2019年 / 48卷 / 12期
关键词
IMPACT;
D O I
10.3928/19382359-20191111-01
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Allergic rhinitis is one of the most common chronic diseases managed by pediatricians. It can result in a significant burden of disease for the patient and their family.This article reviews classification of this condition as well as its pathophysiology, mediated by a Th2 lymphocyte response. Methods of diagnosis via elicitation of a thorough history, focused physical examination,and testing for specific allergen sensitization are discussed.Treatment of this condition is examined, focusing on allergen avoidance and a variety of available pharmacotherapies. Finally, allergen immunotherapy modalities and their potential for disease-modifying effects as well as their potential risks and benefits are outlined.
引用
收藏
页码:E485 / E488
页数:4
相关论文
共 10 条
[1]   Incremental Healthcare Utilization and Expenditures for Allergic Rhinitis in the United States [J].
Bhattacharyya, Neil .
LARYNGOSCOPE, 2011, 121 (09) :1830-1833
[2]   Allergic rhinitis and its impact on asthma [J].
Bousquet, J ;
van Cauwenberge, P ;
Khaltaev, N ;
Ait-Khaled, N ;
Annesi-Maesano, I ;
Bachert, C ;
Baena-Cagnani, C ;
Bateman, E ;
Bonini, S ;
Canonica, GW ;
Carlsen, KH ;
Demoly, P ;
Durham, SR ;
Enarson, D ;
Fokkens, WJ ;
van Wijk, RG ;
Howarth, P ;
Ivanova, NA ;
Kemp, JP ;
Klossek, JM ;
Lockey, RF ;
Lund, V ;
Mackay, I ;
Malling, HJ ;
Meltzer, EO ;
Mygind, N ;
Okunda, M ;
Pawankar, R ;
Price, D ;
Scadding, GK ;
Simons, FER ;
Szczeklik, A ;
Valovirta, E ;
Vignola, AM ;
Wang, DY ;
Warner, JO ;
Weiss, KB .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2001, 108 (05) :S147-S334
[3]   Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines-2016 revision [J].
Brozek, Jan L. ;
Bousquet, Jean ;
Agache, Ioana ;
Agarwal, Arnav ;
Bachert, Claus ;
Bosnic-Anticevich, Sinthia ;
Brignardello-Petersen, Romina ;
Canonica, G. Walter ;
Casale, Thomas ;
Chavannes, Niels H. ;
de Sousa, Jaime Correia ;
Cruz, Alvaro A. ;
Cuello-Garcia, Carlos A. ;
Demoly, Pascal ;
Dykewicz, Mark ;
Etxeandia-Ikobaltzeta, Itziar ;
Florez, Ivan D. ;
Fokkens, Wytske ;
Fonseca, Joao ;
Hellings, Peter W. ;
Klimek, Ludger ;
Kowalski, Sergio ;
Kuna, Piotr ;
Laisaar, Kaja-Triin ;
Larenas-Linnemann, Desiree E. ;
Carlsen, Karin C. Lodrup ;
Manning, Peter J. ;
Meltzer, Eli ;
Mullol, Joaquim ;
Muraro, Antonella ;
O'Hehir, Robyn ;
Ohta, Ken ;
Panzner, Petr ;
Papadopoulos, Nikolaos ;
Park, Hae-Sim ;
Passalacqua, Gianni ;
Pawankar, Ruby ;
Price, David ;
Riva, John J. ;
Roldan, Yetiani ;
Ryan, Dermot ;
Sadeghirad, Behnam ;
Samolinski, Boleslaw ;
Schmid-Grendelmeier, Peter ;
Sheikh, Aziz ;
Togias, Alkis ;
Valero, Antonio ;
Valiulis, Arunas ;
Valovirta, Erkka ;
Ventresca, Matthew .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2017, 140 (04) :950-958
[4]   Environmental control measures for the management of atopy [J].
Dilley, Meredith A. ;
Phipatanakul, Wanda .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2017, 118 (02) :154-160
[5]   Treatment of seasonal allergic rhinitis An evidence-based focused 2017 guideline update [J].
Dykewicz, Mark S. ;
Wallace, Dana V. ;
Baroody, Fuad ;
Bernstein, Jonathan ;
Craig, Tim ;
Finegold, Ira ;
Huang, Faith ;
Larenas-Linnemann, Desiree ;
Meltzer, Eli ;
Steven, Gary ;
Bernstein, David I. ;
Blessing-Moore, Joann ;
Dinakar, Chitra ;
Greenhawt, Matthew ;
Horner, Caroline C. ;
Khan, David A. ;
Lang, David ;
Oppenheimer, John ;
Portnoy, Jay M. ;
Randolph, Christopher R. ;
Rank, Matthew A. .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2017, 119 (06) :489-+
[6]  
Meltzer Eli O, 2012, Allergy Asthma Proc, V33 Suppl 1, pS113, DOI 10.2500/aap.2012.33.3603
[7]   The economic impact of allergic rhinitis and current guidelines for treatment [J].
Meltzer, Eli O. ;
Bukstein, Don A. .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2011, 106 (02) :S12-S16
[8]   Valuing the Economic Costs of Allergic Rhinitis, Acute Bronchitis, and Asthma from Exposure to Indoor Dampness and Mold in the US [J].
Mudarri, David H. .
JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH, 2016, 2016
[9]   Clinical Practice Guideline: Allergic Rhinitis Executive Summary [J].
Seidman, Michael D. ;
Gurgel, Richard K. ;
Lin, Sandra Y. ;
Schwartz, Seth R. ;
Baroody, Fuad M. ;
Bonner, James R. ;
Dawson, Douglas E. ;
Dykewicz, Mark S. ;
Hackell, Jesse M. ;
Han, Joseph K. ;
Ishman, Stacey L. ;
Krouse, Helene J. ;
Malekzadeh, Sonya ;
Mims, James W. ;
Omole, Folashade S. ;
Reddy, William D. ;
Wallace, Dana V. ;
Walsh, Sandra A. ;
Warren, Barbara E. ;
Wilson, Meghan N. ;
Nnacheta, Lorraine C. .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2015, 152 (02) :197-206
[10]   The diagnosis and management of rhinitis: An updated practice parameter [J].
Wallace, Dana V. ;
Dykewicz, Mark S. ;
Bernstein, David I. ;
Bernstein, I. Leonard ;
Blessing-Moore, Joann ;
Cox, Linda ;
Khan, David A. ;
Lang, David M. ;
Nicklas, Richard A. ;
Oppenheimer, John ;
Portnoy, Jay M. ;
Randolph, Christopher C. ;
Schuller, Diane ;
Spector, Sheldon L. ;
Tilles, Stephen A. ;
May, Kathleen R. ;
Miller, Travis A. ;
Druce, Howard M. ;
Baroody, Faud M. ;
Bernstein, Jonathan A. ;
Craig, Timothy J. ;
Georgitis, John W. ;
Pawankar, Ruby ;
Rachelefsky, Gary S. ;
Settipane, Russell A. ;
Skoner, David P. ;
Stoloff, Stuart W. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2008, 122 (02) :S1-S84