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Varna Medical Forum

Allergic Rhinitis - Risk Factor for Bronchial Asthma in Children

Anna Todorova, Antoaneta Tsvetkova, Ana-Maria Velcheva, Maia Radeva, Kristina Decheva, Teodora Georgieva, Nadia Agova


In recent decades, both worldwide and in our country, there is a noticeable increase in allergic diseases, including those of respiratory system - bronchial asthma and allergic rhinitis. Epidemiological studies show that these conditions often coexist in the same patient. Allergen - specific sensitization is one of the major risk factors for the development of asthma in children. Allergic rhinitis usually precedes asthma. The premise `one respiratory system, one disease` marks a change in diagnostics and therapeutic treatment of respiratory allergies. Currently allergen-specific immunotherapy, administered in the early stage of the disease, is the only treatment that could have disease-modifying effect.
The aim of this study is to analyze what proportion of children with asthma suffer from allergic rhinitis and what are the most common therapeutic schemes and practices used in the prophylaxis and treatment of the condition.
For this purpose we conducted a survey among parents of children suffering from bronchial asthma on the territory of the city of Varna. Data were processes statistically based on respondent`s answers and were presented graphically. Results confirm that allergic rhinitis is a widespread disease among children with asthma and that is often neglected and not diagnosed and managed in time. Early diagnostics and adequate control of allergic rhinitis is crucial to stop the disease progression to asthma.


allergic rhinitis; bronchial asthma; children; prophylaxis

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