Asia Pac Allergy.  2014 Jan;4(1):37-41. 10.5415/apallergy.2014.4.1.37.

Effects of wheezing in early childhood in the development of allergic rhinitis in later years

Affiliations
  • 1Department of Pediatrics, Maltepe University School of Medicine, Istanbul 34843, Turkey. feyzulkaya@gmail.com

Abstract

BACKGROUND
Studies on the long-term effects of wheezing in infancy have particularly focused on asthma. There isn't adequate information about the effects of wheezing in the development of allergic rhinitis in later years.
OBJECTIVE
In this study, children with wheezing in the first year of life were investigated in terms of allergic rhinitis after five years of age.
METHODS
The study consisted of children with early-transient wheezing or persistent wheezing. The study groups were evaluated in terms of allergic rhinitis with physical examination and a questionnaire translated from International Study of Asthma and Allergies in Children (ISAAC) questionnaire after five years of age.
RESULTS
The study included 50 children; 23 (46%) had early-transient wheezing and 27 (54%) had persistent wheezing. The symptoms of allergic rhinitis were reported in 13 (48%) of children with persistent wheezing but in none of children with early-transient wheezing (p < 0.05). Skin prick tests showed positive results in 4.3% of children with early-transient wheezing and in 48.1% of children with persistent wheezing (p < 0.05).
CONCLUSION
Persistent wheezing, but not early transient wheezing seems to be a risk factor in the development of allergic rhinitis in children after five years of age.

Keyword

Wheezing; Asthma; Allergic rhinitis; Childhood

MeSH Terms

Asthma
Child
Humans
Hypersensitivity
Physical Examination
Respiratory Sounds*
Rhinitis, Allergic*
Risk Factors
Skin

Cited by  1 articles

Asia Pacific, and beyond
Yoon-Seok Chang, Sang-Il Lee
Asia Pac Allergy. 2014;4(1):1-2.    doi: 10.5415/apallergy.2014.4.1.1.


Reference

1. Ker J, Hartert TV. The atopic march: what's the evidence? Ann Allergy Asthma Immunol. 2009; 103:282–289.
Article
2. Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. The Group Health Medical Associates. Asthma and wheezing in the first six years of life. N Engl J Med. 1995; 332:133–138.
Article
3. Spycher BD, Silverman M, Kuehni CE. Phenotypes of childhood asthma: are they real? Clin Exp Allergy. 2010; 40:1130–1141.
Article
4. Piippo-Savolainen E, Korppi M. Long-term outcomes of early childhood wheezing. Curr Opin Allergy Clin Immunol. 2009; 9:190–196.
Article
5. Van Asperen PP, Kemp AS, Mellis CM. Skin test reactivity and clinical allergen sensitivity in infancy. J Allergy Clin Immunol. 1984; 73:381–386.
6. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet. 1998; 351:1225–1232.
7. Skoner DP. Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis. J Allergy Clin Immunol. 2001; 108:1 Suppl. S2–S8.
Article
8. Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, Williams H. ISAAC Phase Three Study Group. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006; 368:733–743.
Article
9. Branum AM, Lukacs SL. Food allergy among children in the United States. Pediatrics. 2009; 124:1549–1555.
Article
10. Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, Zuberbier T, Baena-Cagnani CE, Canonica GW, van Weel C, Agache I, Aït-Khaled N, Bachert C, Blaiss MS, Bonini S, Boulet LP, Bousquet PJ, Camargos P, Carlsen KH, Chen Y, Custovic A, Dahl R, Demoly P, Douagui H, Durham SR, van Wijk RG, Kalayci O, Kaliner MA, Kim YY, Kowalski ML, Kuna P, Le LT, Lemiere C, Li J, Lockey RF, Mavale-Manuel S, Meltzer EO, Mohammad Y, Mullol J, Naclerio R, O'Hehir RE, Ohta K, Ouedraogo S, Palkonen S, Papadopoulos N, Passalacqua G, Pawankar R, Popov TA, Rabe KF, Rosado-Pinto J, Scadding GK, Simons FE, Toskala E, Valovirta E, van Cauwenberge P, Wang DY, Wickman M, Yawn BP, Yorgancioglu A, Yusuf OM, Zar H, Annesi-Maesano I, Bateman ED, Ben Kheder A, Boakye DA, Bouchard J, Burney P, Busse WW, Chan-Yeung M, Chavannes NH, Chuchalin A, Dolen WK, Emuzyte R, Grouse L, Humbert M, Jackson C, Johnston SL, Keith PK, Kemp JP, Klossek JM, Larenas-Linnemann D, Lipworth B, Malo JL, Marshall GD, Naspitz C, Nekam K, Niggemann B, Nizankowska-Mogilnicka E, Okamoto Y, Orru MP, Potter P, Price D, Stoloff SW, Vandenplas O, Viegi G, Williams D. World Health Organization. GA(2)LEN. AllerGen. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008; 63:Suppl 86. 8–160.
11. Dykewicz MS, Fineman S, Skoner DP, Nicklas R, Lee R, Blessing-Moore J, Li JT, Bernstein IL, Berger W, Spector S, Schuller D. American Academy of Allergy, Asthma, and Immunology. Diagnosis and management of rhinitis: complete guidelines of the Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol. 1998; 81(5 Pt 2):478–518.
Article
12. Alm B, Goksör E, Thengilsdottir H, Pettersson R, Möllborg P, Norvenius G, Erdes L, Aberg N, Wennergren G. Early protective and risk factors for allergic rhinitis at age 4½ yr. Pediatr Allergy Immunol. 2011; 22:398–404.
Article
13. Hahn EL, Bacharier LB. The atopic march: the pattern of allergic disease development in childhood. Immunol Allergy Clin North Am. 2005; 25:231–246. v
Article
14. Spergel JM. Epidemiology of atopic dermatitis and atopic march in children. Immunol Allergy Clin North Am. 2010; 30:269–280.
Article
15. Lau S, Illi S, Sommerfeld C, Niggemann B, Völkel K, Madloch C, Grüber C, Nickel R, Forster J, Wahn U. Multicentre Allergy Study Group. Transient early wheeze is not associated with impaired lung function in 7-yr-old children. Eur Respir J. 2003; 21:834–841.
Article
16. Marogna M, Massolo A, Berra D, Zanon P, Chiodini E, Canonica GW, Passalacqua G. The type of sensitizing allergen can affect the evolution of respiratory allergy. Allergy. 2006; 61:1209–1215.
Article
17. Kurz T, Altmueller J, Strauch K, Rüschendorf F, Heinzmann A, Moffatt MF, Cookson WO, Inacio F, Nürnberg P, Stassen HH, Deichmann KA. A genome-wide screen on the genetics of atopy in a multiethnic European population reveals a major atopy locus on chromosome 3q21.3. Allergy. 2005; 60:192–199.
Article
18. Gustafsson D, Sjöberg O, Foucard T. Development of allergies and asthma in infants and young children with atopic dermatitis: a prospective follow-up to 7 years of age. Allergy. 2000; 55:240–245.
19. Peroni DG, Piacentini GL, Alfonsi L, Zerman L, Di Blasi P, Visona' G, Nottegar F, Boner AL. Rhinitis in pre-school children: prevalence, association with allergic diseases and risk factors. Clin Exp Allergy. 2003; 33:1349–1354.
Article
20. Kapoor R, Menon C, Hoffstad O, Bilker W, Leclerc P, Margolis DJ. The prevalence of atopic triad in children with physician-confirmed atopic dermatitis. J Am Acad Dermatol. 2008; 58:68–73.
Article
21. Mahesh PA, Vedanthan PK, Holla AD, Jayaraj BS, Prabhakar AK. Time interval and the factors associated with the development of asthma in patients with allergic rhinitis. Lung. 2009; 187:393–400.
Article
22. Danielsson J, Jessen M. The natural course of allergic rhinitis during 12 years of follow-up. Allergy. 1997; 52:331–334.
Article
23. Shaaban R, Zureik M, Soussan D, Neukirch C, Heinrich J, Sunyer J, Wjst M, Cerveri I, Pin I, Bousquet J, Jarvis D, Burney PG, Neukirch F, Leynaert B. Rhinitis and onset of asthma: a longitudinal population-based study. Lancet. 2008; 372:1049–1057.
Article
24. Greisner WA 3rd, Settipane RJ, Settipane GA. Co-existence of asthma and allergic rhinitis: a 23-year follow-up study of college students. Allergy Asthma Proc. 1998; 19:185–188.
Article
25. Eriksson J, Bjerg A, Lötvall J, Wennergren G, Rönmark E, Torén K, Lundbäck B. Rhinitis phenotypes correlate with different symptom presentation and risk factor patterns of asthma. Respir Med. 2011; 105:1611–1621.
Article
26. Wright AL, Holberg CJ, Martinez FD, Halonen M, Morgan W, Taussig LM. Epidemiology of physician-diagnosed allergic rhinitis in childhood. Pediatrics. 1994; 94(6 Pt 1):895–901.
Article
27. Togias A. Rhinitis and asthma: evidence for respiratory system integration. J Allergy Clin Immunol. 2003; 111:1171–1183.
Article
28. Braunstahl GJ, Kleinjan A, Overbeek SE, Prins JB, Hoogsteden HC, Fokkens WJ. Segmental bronchial provocation induces nasal inflammation in allergic rhinitis patients. Am J Respir Crit Care Med. 2000; 161:2051–2057.
Article
29. Holgate ST, Davies DE, Lackie PM, Wilson SJ, Puddicombe SM, Lordan JL. Epithelial-mesenchymal interactions in the pathogenesis of asthma. J Allergy Clin Immunol. 2000; 105(2 Pt 1):193–204.
Article
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