Asia Pac Allergy.  2012 Apr;2(2):93-100. 10.5415/apallergy.2012.2.2.93.

Impact of allergic rhinitis in school going children

Affiliations
  • 1Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi 110 007, India. ashokshah99@yahoo.com

Abstract

Allergic rhinitis (AR) is the most common chronic pediatric disorder. The International Study for Asthma and Allergies in Childhood phase III found that the global average of current rhinoconjunctivitis symptoms in the 13-14 year age-group was 14.6% and the average prevalence of rhinoconjunctivitis symptoms in the 6-7 year age-group was 8.5%. In addition to classical symptoms, AR is associated with a multidimensional impact on the health related quality of life in children. AR affects the quality of sleep in children and frequently leads to day-time fatigue as well as sleepiness. It is also thought to be a risk factor for sleep disordered breathing. AR results in increased school absenteeism and distraction during class hours. These children are often embarrassed in school and have decreased social interaction which significantly hampers the process of learning and school performance. All these aspects upset the family too. Multiple co-morbidities like sinusitis, asthma, conjunctivitis, eczema, eustachian tube dysfunction and otitis media are generally associated with AR. These mostly remain undiagnosed and untreated adding to the morbidity. To compound the problems, medications have bothersome side effects which cause the children to resist therapy. Children customarily do not complain while parents and health care professionals, more often than not, fail to accord the attention that this not so trivial disease deserves. AR, especially in developing countries, continues to remain a neglected disorder.

Keyword

Allergic rhinitis; Asthma; Learning disability; Pediatric; Quality of life; School children; Sinusitis; Sleep disturbances

MeSH Terms

Absenteeism
Asthma
Child*
Conjunctivitis
Delivery of Health Care
Developing Countries
Eczema
Eustachian Tube
Fatigue
Humans
Hypersensitivity
Interpersonal Relations
Learning
Learning Disorders
Otitis Media
Parents
Prevalence
Quality of Life
Rhinitis, Allergic*
Risk Factors
Sinusitis
Sleep Apnea Syndromes

Figure

  • Fig. 1 Coronal CT of the paranasal sinuses in a 7-year-old child showing extensive mucosal thickening within all paranasal sinuses, ostiomeatal complexes and nasal cavity.


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