Allergy Asthma Respir Dis.  2015 Sep;3(5):341-345. 10.4168/aard.2015.3.5.341.

Symptomatic differences between allergic and nonallergic rhinitis in children

• Ahn JY
• Kim JE
• Choi BS

• KMID: 2218644
• DOI: http://doi.org/10.4168/aard.2015.3.5.341

Abstract

PURPOSE
Children and adolescent have high prevalences of allergic rhinitis (AR) and nonallergic rhinitis (NAR) as well as adult. The purpose of this study was to assess the symptomatic differences between AR and NAR in children.
METHODS
This study included 138 patients with 2 or more of rhinitis symptoms, including rhinorrhea, nasal obstruction, nasal itching, and sneezing for over 1 hour on most days who visited Kyungpook National University Children's Hospital between March 2013 and June 2014. The levels of total IgE, specific IgE, eosinophil cationic protein, peripheral blood eosinophil count, and the skin prick test were carried out. All the patients or parents were asked to fill out a rhinitis symptom questionnaire and contents were rechecked by physician during the consultation. The symptoms of rhinorrhea, sneezing, nasal itching, nasal obstruction and eye itching were checked. Family history and comorbidity were also evaluated.
RESULTS
Ninety-one patients were diagnosed with AR, 47 patients with NAR. Their age ranged from 1 to 16 years. AR patients had more sneezing, nasal pruritus and eye symptoms than NAR patients (P=0.003, P=0.036, and P=0.003, respectively).
CONCLUSION
This study shows that the several symptomatic differences may help to diagnose the AR. It will be helpful in establishing diagnostic and treatment plans for rhinitis patients before allergic tests.

Keyword

Vasomotor rhinitis; Allergic rhinitis; Child; Symptom

MeSH Terms

Adolescent
Adult
Child*
Comorbidity
Eosinophil Cationic Protein
Eosinophils
Gyeongsangbuk-do
Humans
Immunoglobulin E
Nasal Obstruction
Parents
Prevalence
Pruritus
Rhinitis*
Rhinitis, Vasomotor
Skin
Sneezing
Eosinophil Cationic Protein
Immunoglobulin E

Figure

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  Fig. 1 Symptomatic differences between allergic and nonallergic rhinitis in children. AR, allergic rhinitis; NAR, nonallergic rhinitis.

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