Franklin Mariño-Sánchez1,2, Meritxell Valls-Mateus3, Gonzalo de Los Santos4,5, Ana María Plaza6, Ignacio Cobeta4,5, Joaquim Mullol7,8,9. 1. Unidad de Rinología y Cirugía de Base de Cráneo. Servicio de Otorrinolaringología, Hospital Universitario Ramón y Cajal, Ctra. De Colmenar Viejo, km. 9,100, 28034, Madrid, Spain. franklinmarino@gmail.com. 2. INGENIO, Immunoal.lèrgia Respiratòria Clínica i Experimental (IRCE), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain. franklinmarino@gmail.com. 3. Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello, Hospital Universitario Son Espases, Palma, Islas Baleares, Spain. 4. Unidad de Rinología y Cirugía de Base de Cráneo. Servicio de Otorrinolaringología, Hospital Universitario Ramón y Cajal, Ctra. De Colmenar Viejo, km. 9,100, 28034, Madrid, Spain. 5. Universidad de Alcalá, Madrid, Spain. 6. Servicio de Inmunoalergología, Hospital Sant Joan de Déu, Barcelona, Spain. 7. INGENIO, Immunoal.lèrgia Respiratòria Clínica i Experimental (IRCE), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia, Spain. 8. Unitat de Rinologia i Clinica de l'Olfacte. Servei d'Otorinolaringologia, Hospital Clínic i Universitari, Barcelona, Catalonia, Spain. 9. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Catalonia, Spain.
Abstract
PURPOSE OF REVIEW: Most children and adolescents with allergic rhinitis (AR) present extra-nasal multimorbid conditions, including conjunctivitis, asthma, atopic dermatitis, rhinosinusitis, or seromucous otitis. Additionally, they may present nasal obstructive disorders, such as septal deformity, turbinate enlargement, and adenoidal hyperplasia, which worsen nasal symptoms, especially nasal obstruction. This is a narrative review on the current state of the concomitant presence of AR and one or more multimorbidities. RECENT FINDINGS: The presence of AR and one or more accompanying multimorbidities is associated to a higher severity and duration of the disease, a negative impact on quality of life, with worse control and lack of improvement with medical treatment. Therefore, AR needs to be managed with a multidisciplinary collaborative approach. Pediatric AR needs to be considered in the context of a systemic disease, which requires a coordinated therapeutic strategy.
PURPOSE OF REVIEW: Most children and adolescents with allergic rhinitis (AR) present extra-nasal multimorbid conditions, including conjunctivitis, asthma, atopic dermatitis, rhinosinusitis, or seromucous otitis. Additionally, they may present nasal obstructive disorders, such as septal deformity, turbinate enlargement, and adenoidal hyperplasia, which worsen nasal symptoms, especially nasal obstruction. This is a narrative review on the current state of the concomitant presence of AR and one or more multimorbidities. RECENT FINDINGS: The presence of AR and one or more accompanying multimorbidities is associated to a higher severity and duration of the disease, a negative impact on quality of life, with worse control and lack of improvement with medical treatment. Therefore, AR needs to be managed with a multidisciplinary collaborative approach. Pediatric AR needs to be considered in the context of a systemic disease, which requires a coordinated therapeutic strategy.
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