The influence of allergic rhinitis on asthma
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Abstract
The majority of children with asthma have a history or evidence of rhinitis and 19% to 40% with persistent rhinitis have or develop asthma. Rhinitis frequently precedes asthma, is a risk factor for the development of asthma and is associated with increased severity of asthma. Asthma and rhinitis are considered to be inflammatory disorders of the airway. Although the inflammation of the nasal and bronchial mucosa may by similar airway smooth muscle contraction plays a dominant role in asthma while nasal obstruction is largely due to hyperemia in rhinitis. Both asthma and rhinitis have the same risk factor. Anti-inflammatory agents including glucokorticosteroides and leukotriene modifiers can be effective in both conditions. Treatment of rhinitis improve asthma symptoms. For these reasons the presence of asthma must be considered in all patients with rhinitis and presence of rhinitis must be considered in all patients with asthma.
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Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
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