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Paediatric rhinitis: position paper of the European Academy of Allergy and Clinical Immunology

Paediatric rhinitis: position paper of the European Academy of Allergy and Clinical Immunology
Paediatric rhinitis: position paper of the European Academy of Allergy and Clinical Immunology
Rhinitis is a common problem in childhood and adolescence and impacts negatively on physical, social and psychological well-being. This position paper, prepared by the European Academy of Allergy and Clinical Immunology Taskforce on Rhinitis in Children, aims to provide evidence-based recommendations for the diagnosis and therapy of paediatric rhinitis. Rhinitis is characterized by at least two nasal symptoms: rhinorrhoea, blockage, sneezing or itching. It is classified as allergic rhinitis, infectious rhinitis and nonallergic, noninfectious rhinitis. Similar symptoms may occur with other conditions such as adenoidal hypertrophy, septal deviation and nasal polyps. Examination by anterior rhinoscopy and allergy tests may help to substantiate a diagnosis of allergic rhinitis. Avoidance of relevant allergens may be helpful for allergic rhinitis (AR). Oral and intranasal antihistamines and nasal corticosteroids are both appropriate for first-line AR treatment although the latter are more effective. Once-daily forms of corticosteroids are preferred given their improved safety profile. Potentially useful add-on therapies for AR include oral leukotriene receptor antagonists, short bursts of a nasal decongestant, saline douches and nasal anticholinergics. Allergen-specific immunotherapy is helpful in IgE-mediated AR and may prevent the progression of allergic disease. There are still a number of areas that need to be clarified in the management of rhinitis in children and adolescents.
0105-4538
1102-1116
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Xatzipsalti, M.
0268a78c-7f95-4f9b-aa83-0ec418449a3f
Borrego, L.M.
89c373df-f891-4348-b1a2-de86652b817d
Custovic, Adnan
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Halken, S.
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Hellings, P.W.
19f5408b-5d49-4035-8923-dd574e535e8f
Papadopoulos, N.G.
fac5aea9-7ee2-4579-90c8-e547b6a4bdf7
Rotiroti, G.
4ac097e6-01cf-449a-a493-d41d8bfb2e0f
Scadding, G.K.
3609270c-baa7-4d00-b16f-a0fe0ffb59d7
Timmermans, F.
470d64f1-850f-4413-8dc6-7681f67ba3cf
Valovirta, E.
9486004e-8be8-4a09-9711-a197f9c25631
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Xatzipsalti, M.
0268a78c-7f95-4f9b-aa83-0ec418449a3f
Borrego, L.M.
89c373df-f891-4348-b1a2-de86652b817d
Custovic, Adnan
17d8d092-73b8-44fb-bf48-5cea7b29e3fc
Halken, S.
6204ce6f-7b6e-4041-9da2-a5f250467fbb
Hellings, P.W.
19f5408b-5d49-4035-8923-dd574e535e8f
Papadopoulos, N.G.
fac5aea9-7ee2-4579-90c8-e547b6a4bdf7
Rotiroti, G.
4ac097e6-01cf-449a-a493-d41d8bfb2e0f
Scadding, G.K.
3609270c-baa7-4d00-b16f-a0fe0ffb59d7
Timmermans, F.
470d64f1-850f-4413-8dc6-7681f67ba3cf
Valovirta, E.
9486004e-8be8-4a09-9711-a197f9c25631

Roberts, Graham, Xatzipsalti, M., Borrego, L.M., Custovic, Adnan, Halken, S., Hellings, P.W., Papadopoulos, N.G., Rotiroti, G., Scadding, G.K., Timmermans, F. and Valovirta, E. (2013) Paediatric rhinitis: position paper of the European Academy of Allergy and Clinical Immunology. Allergy, 68 (9), 1102-1116. (doi:10.1111/all.12235). (PMID:23952296)

Record type: Article

Abstract

Rhinitis is a common problem in childhood and adolescence and impacts negatively on physical, social and psychological well-being. This position paper, prepared by the European Academy of Allergy and Clinical Immunology Taskforce on Rhinitis in Children, aims to provide evidence-based recommendations for the diagnosis and therapy of paediatric rhinitis. Rhinitis is characterized by at least two nasal symptoms: rhinorrhoea, blockage, sneezing or itching. It is classified as allergic rhinitis, infectious rhinitis and nonallergic, noninfectious rhinitis. Similar symptoms may occur with other conditions such as adenoidal hypertrophy, septal deviation and nasal polyps. Examination by anterior rhinoscopy and allergy tests may help to substantiate a diagnosis of allergic rhinitis. Avoidance of relevant allergens may be helpful for allergic rhinitis (AR). Oral and intranasal antihistamines and nasal corticosteroids are both appropriate for first-line AR treatment although the latter are more effective. Once-daily forms of corticosteroids are preferred given their improved safety profile. Potentially useful add-on therapies for AR include oral leukotriene receptor antagonists, short bursts of a nasal decongestant, saline douches and nasal anticholinergics. Allergen-specific immunotherapy is helpful in IgE-mediated AR and may prevent the progression of allergic disease. There are still a number of areas that need to be clarified in the management of rhinitis in children and adolescents.

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More information

Published date: September 2013
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 360140
URI: http://eprints.soton.ac.uk/id/eprint/360140
ISSN: 0105-4538
PURE UUID: 87f06283-2668-4dc3-9aff-988e3d68911d
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

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Date deposited: 27 Nov 2013 13:08
Last modified: 15 Mar 2024 03:22

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Contributors

Author: Graham Roberts ORCID iD
Author: M. Xatzipsalti
Author: L.M. Borrego
Author: Adnan Custovic
Author: S. Halken
Author: P.W. Hellings
Author: N.G. Papadopoulos
Author: G. Rotiroti
Author: G.K. Scadding
Author: F. Timmermans
Author: E. Valovirta

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