PMID- 28124640
OWN - NLM
STAT- MEDLINE
DCOM- 20170421
LR  - 20170421
IS  - 1945-8932 (Electronic)
IS  - 1945-8932 (Linking)
VI  - 30
IP  - 6
DP  - 2016 Nov 1
TI  - Local allergic rhinitis to pollens is underdiagnosed in young patients.
PG  - 198-201
LID - 10.2500/ajra.2016.30.4369 [doi]
AB  - BACKGROUND: Local allergic rhinitis (LAR) has been observed in patients without 
      atopy. However, LAR is still underdiagnosed in patients with perennial or 
      seasonal nasal symptoms. OBJECTIVE: The aim of this study was to determine the 
      prevalence of LAR in young patients with a previous diagnosis of nonallergic 
      rhinitis or suspicion of allergy. METHODS: A total of 121 patients, ages 12-18 
      years old, with confirmed nonallergic rhinitis and typical seasonal nasal 
      symptoms were examined. Skin-prick tests; serum and nasal specific immunoglobulin 
      E (IgE) measurements; and nasal provocation tests by using grass (Phleum 
      partense), Artemisia, and birch pollens were performed. A control group of 
      age-matched patients with a diagnosis of seasonal allergic rhinitis underwent the 
      same procedures as the test group. RESULTS: LAR to grass pollen (P. partense), 
      Artemisia, and birch was confirmed in 17 (16.6%), 6 (5.9%), and 9 (8.9%) of 
      patients, respectively. Polyvalent allergy was established in 21 subjects 
      (20.8%): grass and Artemisia, 11 patients (10.9%); and grass and birch, 10 
      patients (9.9%). The remaining 48 patients (47.5%) were diagnosed with 
      nonallergic rhinitis. The results of the nasal provocation tests and the 
      concentrations of nasal IgE were similar among the analyzed groups. Furthermore, 
      the concentration of nasal IgE increased faster in patients with LAR than in 
      patients with allergic rhinitis; however, this difference was not statistically 
      significant. CONCLUSION: LAR is a serious problem in young patients; however, its 
      significance is still unappreciated.
FAU - Krajewska-Wojtys, Anna
AU  - Krajewska-Wojtys A
AD  - Clinical Department of Internal Disease, Dermatology and Allergology in Zabrze, 
      Medical University of Silesia, Katowice, Poland.
FAU - Jarzab, Jerzy
AU  - Jarzab J
FAU - Gawlik, Radoslaw
AU  - Gawlik R
FAU - Bozek, Andrzej
AU  - Bozek A
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Rhinol Allergy
JT  - American journal of rhinology & allergy
JID - 101490775
RN  - 0 (Allergens)
RN  - 0 (Antigens, Plant)
SB  - IM
MH  - Adolescent
MH  - Allergens/immunology
MH  - Antigens, Plant/immunology
MH  - Artemisia/immunology
MH  - Betula/immunology
MH  - Diagnostic Errors/prevention & control/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Phleum/immunology
MH  - Poland/epidemiology
MH  - Pollen/immunology
MH  - Prevalence
MH  - Rhinitis, Allergic/diagnosis/*epidemiology
MH  - Skin Tests
EDAT- 2017/01/27 06:00
MHDA- 2017/04/22 06:00
CRDT- 2017/01/27 06:00
PHST- 2017/01/27 06:00 [entrez]
PHST- 2017/01/27 06:00 [pubmed]
PHST- 2017/04/22 06:00 [medline]
AID - 10.2500/ajra.2016.30.4369 [doi]
PST - ppublish
SO  - Am J Rhinol Allergy. 2016 Nov 1;30(6):198-201. doi: 10.2500/ajra.2016.30.4369.