The aspects of local allergic rhinitis in Polish children 
and adolescents

Andrzej Bożek; Renata Kozłowska; Paweł Sybila; Martyna Miodońska; Agata Mędrala; Aleksandra Foks-Ciekalska; Beata Ignasiak

doi:10.5114/ada.2022.124313

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Original paper

The aspects of local allergic rhinitis in Polish children and adolescents

Andrzej Bożek

^{1, 2}

,

Renata Kozłowska

¹

,

Paweł Sybila

¹

,

Martyna Miodońska

¹

,

Agata Mędrala

¹

,

Aleksandra Foks-Ciekalska

¹

,

Beata Ignasiak

²

Clinical Department of Internal Medicine, Dermatology and Allergology in Zabrze, Medical University of Silesia in Katowice, Poland
Allergy Outpatient Clinic, Świętochłowice, Poland

Adv Dermatol Allergol 2023; XL (2): 321-325

DOI: https://doi.org/10.5114/ada.2022.124313

Online publish date: 2023/01/19

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Introduction:
Local allergic rhinitis (LAR) is one of the endotypes of rhinitis which occurs commonly in different age groups.

Aim:
To present the occurrence and characteristics of LAR in Polish children and adolescents.

Material and methods:
In the study protocol, three hundred sixty-one patients aged 5–17 with chronic rhinitis were included from 8 centres in Poland. Medical history and diagnostic procedures were performed with aeroallergens: skin prick tests, allergen-specific serum IgE and nasal provocation tests. In addition to LAR, allergic rhinitis (AR), dual allergic rhinitis (DUAL) and non-allergic rhinitis (NAR) were explored and compared.

Results:
LAR was confirmed in 21% of patients, systemic allergic rhinitis (SAR) in 43.9%, DUAL in 9.4% and NAR in 33.9% of patients. Based on nasal provocation test (NPT), allergy to HDM prevailed in the LAR group (68%), grass in the SAR group (58%), and grass and HDM in the DUAL group (32% and 64%). Girls were prevalent in the LAR group, and severe rhinitis and asthma were more common than other endotypes (p < 0.05).

Conclusions:
LAR is a common disease in children and adolescents and is often associated with severe rhinitis and frequently coexists with asthma.

keywords:

The aspects of local allergic rhinitis in Polish children and adolescents

Andrzej Bożek 1, 2 , Renata Kozłowska 1 , Paweł Sybila 1 , Martyna Miodońska 1 , Agata Mędrala 1 , Aleksandra Foks-Ciekalska 1 , Beata Ignasiak 2

local allergic rhinitis, IgE, allergy

Andrzej Bożek

^{1, 2}

,

Renata Kozłowska

¹

,

Paweł Sybila

¹

,

Martyna Miodońska

¹

,

Agata Mędrala

¹

,

Aleksandra Foks-Ciekalska

¹

,

Beata Ignasiak

²