Optimum treatment of allergic rhinitis in children.

Allergic rhinitis is a very common disease, occurring in 10% of children and up to 20% of adolescents. The effects of the disease are frequently underestimated and not regarded as a serious health problem. However, if not properly treated, the disease is associated with harmful sequelae and poor quality of life. The treatment of allergic rhinitis in children depends on 3 therapeutic approaches: avoidance of provoking factors, pharmacological therapy and immunotherapy. Environmental control measures should be directed against allergens as well as against nonspecific irritating factors such as tobacco smoke. Conventional therapy depends on the appropriate selection and combination of antihistamines, mast cell stabilisers, decongestants and topical corticosteroids. Immunotherapy must not be used indiscriminately and should be prescribed only when clearly indicated. Compliance with the treatment regimen is an essential element of therapeutic success.