PMID- 14675473 OWN - NLM STAT- MEDLINE DCOM- 20040423 LR - 20191210 IS - 0905-6157 (Print) IS - 0905-6157 (Linking) VI - 14 IP - 6 DP - 2003 Dec TI - Non-specific bronchial hyper-responsiveness in children with allergic rhinitis: relationship with the atopic status. PG - 458-63 AB - An increased prevalence of bronchial hyper-responsiveness (BHR) has been demonstrated in children from a general population, and in non-asthmatic adults with allergic rhinitis. Thus, also children with allergic rhinitis are expected to be at higher risk of BHR. We evaluated the prevalence of BHR in a sample of non-asthmatic children with allergic rhinitis by means of the methacholine (Mch) bronchial challenge, and by monitorizing the airway patency using the daily peak expiratory flow variability (PEFv). Fifty-one children (ranged 6-15 years of age) with allergic rhinitis, ascertained by skin prick test to inhalant allergens, underwent a 14-day peak expiratory flow monitoring, and a Mch bronchial provocation challenge. Thirty healthy children matched for age, and sex served as control group. Thirty-one children in the rhinitis group (61%), and six (20%) in the control group were Mch+ (Mch provocative dose causing a 20% fall of forced expiratory volume in 1 s respect to baseline <2250 microg, equivalent to 11.50 micromol). In rhinitic children the PEFv did not significantly differ between Mch+ and Mch- subjects, but the total serum immunoglobulin E (IgE) were higher among Mch+. The persistent form of rhinitis was significantly associated to Mch positivity. Non-asthmatic children with allergic rhinitis displayed a high prevalence of BHR. The BHR was significantly associated with persistent rhinitis and with higher total IgE levels. Nevertheless, the spontaneous changes in airway patency, as expressed by PEFv, were within normal limits both in Mch+ and Mch- children. FAU - Cuttitta, Giuseppina AU - Cuttitta G AD - Istituto di Biomedicina e Immunologia Molecolare 'Alberto Monroy' del C.N.R., Palermo, Italy. cuttitta@ifr.pa.cnr.it FAU - Cibella, Fabio AU - Cibella F FAU - La Grutta, Stefania AU - La Grutta S FAU - Hopps, Maria R AU - Hopps MR FAU - Bucchieri, Salvatore AU - Bucchieri S FAU - Passalacqua, Giovanni AU - Passalacqua G FAU - Bonsignore, Giovanni AU - Bonsignore G LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Biomarkers) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Airway Resistance/physiology MH - Biomarkers/blood MH - Bronchial Hyperreactivity/*physiopathology MH - Bronchial Provocation Tests MH - Child MH - Child Welfare MH - Cross-Sectional Studies MH - Female MH - Forced Expiratory Volume/physiology MH - Humans MH - Hypersensitivity, Immediate/physiopathology MH - Immunoglobulin E/blood MH - Male MH - Peak Expiratory Flow Rate/physiology MH - Predictive Value of Tests MH - Prevalence MH - Respiratory Function Tests MH - Rhinitis, Allergic, Perennial/*physiopathology MH - Statistics as Topic MH - Vital Capacity/physiology EDAT- 2003/12/17 05:00 MHDA- 2004/04/24 05:00 CRDT- 2003/12/17 05:00 PHST- 2003/12/17 05:00 [pubmed] PHST- 2004/04/24 05:00 [medline] PHST- 2003/12/17 05:00 [entrez] AID - 067 [pii] AID - 10.1046/j.0905-6157.2003.00067.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2003 Dec;14(6):458-63. doi: 10.1046/j.0905-6157.2003.00067.x.