Allergy Asthma Immunol Res.  2012 Mar;4(2):80-84. 10.4168/aair.2012.4.2.80.

Predisposing Factors Associated With Chronic and Recurrent Rhinosinusitis in Childhood

Affiliations
  • 1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea. yhrha@khu.ac.kr
  • 2Department of Pediatrics, College of Medicine, CHA University, Pocheon, Korea.
  • 3Department of Pediatrics, College of Medicine, Eulji University, Seoul, Korea.
  • 4Department of Pediatrics, College of Medicine, Konkuk University, Seoul, Korea.
  • 5Department of Pediatrics, Sanggye Paik Hospital, Seoul, Korea.
  • 6Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 7Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

PURPOSE
There is currently no information regarding predisposing factors for chronic and recurrent rhinosinusitis (RS), although these are considered to be multifactorial in origin, and allergic diseases contribute to their pathogenesis. We evaluated the predisposing factors that may be associated with chronic and recurrent RS.
METHODS
In this prospective study, we examined patients with RS younger than 13 years of age, diagnosed with RS at six tertiary referral hospitals in Korea between October and December, 2006. Demographic and clinical data related to RS were recorded and analyzed.
RESULTS
In total, 296 patients were recruited. Acute RS was the most frequent type: 56.4% of the patients had acute RS. The prevalences of other types of RS, in descending order, were chronic RS (18.9%), subacute RS (13.2%), and recurrent RS (11.5%). Factors associated with recurrent RS were similar to those of chronic RS. Patients with chronic and recurrent RS were significantly older than those with acute and subacute RS. The prevalences of allergic rhinitis, atopy, and asthma were significantly higher in patients with chronic and recurrent RS than those with acute and subacute RS.
CONCLUSIONS
An association between atopy and chronic/recurrent RS, compared to acute and subacute RS, suggests a possible causal link.

Keyword

Rhinosinusitis; chronic; allergic rhinitis; predisposing factor; child

MeSH Terms

Aluminum Hydroxide
Asthma
Carbonates
Child
Humans
Korea
Prevalence
Prospective Studies
Rhinitis
Rhinitis, Allergic, Perennial
Tertiary Care Centers
Aluminum Hydroxide
Carbonates
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