• Title/Summary/Keyword: Allergic rhinitis

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The Prevalence of Atopic Dermatitis, Asthma, and Allergic Rhinitis and the Comorbidity of Allergic Diseases in Children

  • Hong, So-Young;Son, Dong-Koog;Lim, Wan-Ryung;Kim, Sun-Hang;Kim, Hyun-Jung;Yum, Hye-Yung;Kwon, Ho-Jang
    • Environmental Analysis Health and Toxicology
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    • v.27
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    • pp.6.1-6.8
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    • 2012
  • Objectives: Childhood allergic diseases are a major concern because they lead to a heavy economic burden and poor quality of life. The purpose of this study was to investigate the prevalence of childhood atopic dermatitis, asthma, allergic rhinitis, and the comorbidity of allergic diseases in Seoul, Korea. Methods: We conducted a cross-sectional survey between May and October 2010 to evaluate the prevalence of childhood allergic diseases, including atopic dermatitis, asthma, and allergic rhinitis, using a questionnaire from the International Study of Asthma and Allergies in Childhood group. Each questionnaire was completed by the parent or guardian of a child. Results: In the 31,201 children studied, the prevalence of atopic dermatitis symptoms in the past 12 months was 19.3% in children 0 to 3 years of age, 19.7% in children 4 to 6 years of age, 16.7% in children 7 to 9 years of age, and 14.5% in children 10 to 13 years of age (p for trend < 0.001). The prevalence of asthma in these age groups was 16.5%, 9.8%, 6.5%, and 5.4%, respectively (p for trend < 0.001). The prevalence of allergic rhinitis in these age groups was 28.5%, 38.0%, 38.5%, and 35.9%, respectively (p for trend = 0.043). The percentage of subjects with both atopic dermatitis and asthma, both asthma and allergic rhinitis, or both atopic dermatitis and allergic rhinitis was 2.5%, 4.7%, and 8.7%, respectively. The prevalence of comorbid allergic diseases decreased with age (p for trend < 0.001). Conclusions: Our study revealed that the prevalence of some allergic diseases, such as atopic dermatitis and asthma, was relatively high in very young children and that all of the principal allergic diseases in children often co-exist.

Allergic rhinitis in children : diagnosis and treatment (소아 알레르기 비염의 진단과 치료)

  • Rha, Yeong-Ho
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.593-601
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    • 2006
  • Allergic rhinitis is a common disease of childhood characterized by nasal, throat, and ocular itching, rhinorrhea, sneezing, nasal congestion. Those affected with allergic rhinitis often suffer from associated inflammatory conditions of the mucosa, such as allergic conjunctivitis, rhinosinusitis, asthma, otitis media with effusion, and other atopic conditions, such as eczema and food allergies. Allergic rhinitis must be diagnosed and treated properly to prevent complications and impaired quality of life. Despite a high prevalence, allergic rhinitis isoften undiagnosed and inadequately treated, especially in the pediatric population. The first step in treatment is environmental control when appropriate. It may be difficult to eliminate all offending allergens effectively to reduce symptoms, so medications are often required. Many different classes of medications are now available, and they have been shown to be effective and safe in a large number of well-designed, clinical trials. Antihistamines are effective in treating immediate symptoms of sneezing, pruritus, watery eyes, and rhinorrhea. Second generation antihistamines are the preferred antihistamines because of their superior side effect profile. Thus, decongestants are commonly used with oral antihistamines. Intranasal corticosteroids are the most effective therapy for allergic rhinitis. Leukotriene modifier may be as effective as antihistamines in treating allergic rhinitis symptoms. Cromolyn sodium is an option for mild disease when used prophylactically, and ipratropium bromide is effective when rhinorrhea is the predominant symptom. When avoidance measures and medications are not effective, specific immunotherapy is an effective alternative. Only immunotherapy results in sustained changes in the immune system. Because of improved understanding of the pathogenesis, new and better therapies may be forthcoming. The effective treatment of allergic rhinitis in children will reduce symptoms and will improve overall health and quality of life, making a happier, healthier child.

Two Cases Report of Allergic Rhinitis Treated by Saengkangsasim-tang (생강사심탕(生薑瀉心湯)으로 호전된 알레르기성 비염 2례)

  • Kim, Su-Jung;Lim, Hyeon-Taek
    • 대한상한금궤의학회지
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    • v.5 no.1
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    • pp.75-84
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    • 2013
  • Objective : This case report evaluated the effect of Saengkangsasim-tang(生薑瀉心湯) on allergic rhinitis. Methods : Two different patients of allergic rhinitis were treated with Saengkangsasim-tang (生薑瀉心湯) in accordance with diagnostic system based on Shanghanlun(傷寒論) six meridian patterns and provisions. Results : After a series of Saengkangsasim-tang treatments, the symptoms of allergic rhinitis patients improved in 2 cases. Conclusions : According to diagnostic system based on Shanghanlun(傷寒論) six meridian patterns and provisions, this case study shows that Saengkangsasim-tang is effective on allergic rhinitis. However further clinical studies in depth are needed.

3 Cases of the effect of 8 Constitution Acupuncture on Allergic Rhinitis (8체질침으로 치료한 금음체질(金陰體質, Colonotonia) 알레르기비염환자 3례)

  • Kim, Hee-Kyung;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.251-260
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    • 2009
  • Objective : This study is to investigate the effect of 8 Constitution Acupuncture on allergic rhinitis patients Methods : We treated 3 allergic rhinitis patients diagnosed as Colonotonia with 8 Constitution Acupuncture by dry needle. The degree of improvement was evaluated by Visual Analogue Scale(VAS) Results & Conclusions : After taking 8 Constitution Acupuncture sessions, the symptoms of allergic rhinitis was improved. After 8 Constitution Diet, the effect of therapy was lingered. This study shows that the allergic rhinitis can possibly be treated not only with herb medicine, but also with acupuncture and diet.

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Comparison of Alternative knowledge Acquisition Methods for Allergic Rhinitis

  • Chae, Young-Moon;Chung, Seung-Kyu;Suh, Jae-Gwon;Ho, Seung-Hee;Park, In-Yong
    • Journal of Intelligence and Information Systems
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    • v.1 no.1
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    • pp.91-109
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    • 1995
  • This paper compared four knowledge acquisition methods (namely, neural network, case-based reasoning, discriminant analysis, and covariance structure modeling) for allergic rhinitis. The data were collected from 444 patients with suspected allergic rhinitis who visited the Otorlaryngology Deduring 1991-1993. Among four knowledge acquisition methods, the discriminant model had the best overall diagnostic capability (78%) and the neural network had slightly lower rate(76%). This may be explained by the fact that neural network is essentially non-linear discriminant model. The discriminant model was also most accurate in predicting allergic rhinitis (88%). On the other hand, the CSM had the lowest overall accuracy rate (44%) perhaps due to smaller input data set. However, it was most accuate in predicting non-allergic rhinitis (82%).

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A clinical report about the effect of Tonguetangmi on Allergic Rhinitis (通竅湯加味方을 투여한여 치료한 알레르기성 비염환자의 만족도에 대한 臨床報告)

  • Chun, Seung-Chul;Lee, Sang-Gon;Jee, Seon-Young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.15 no.2
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    • pp.145-155
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    • 2002
  • Allergic Rhinitis is specified by three symptoms such as sternutation, rhinorrhea and rhinanchon. Besides these three major symptoms, it is characterized by sternutation, frontal headache, photophobia and epiphora. The allergic rhinitis occurs when inhaled allergen is in contact with nasal mucosa, which causes immune response. And Tonguetangmi is one of the most frequently used medical treatment for the allergic rhinitis. A study on the 20 patients with allergic rhinitis who took Tonguetangmi a year ago shows that the oral medication for 10 days of Tonguetangmi for an adult who has allergic rhinitis less than one year results in the best efficiency of the remedy.

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The Study on the Characteristics of Ryodoraku Score in the Children with Allergic Rhinitis (알레르기성 비염환아들의 양도락 특성에 관한 연구)

  • An, Ju Hyeon;Lee, Jin Young
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.3
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    • pp.31-41
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    • 2016
  • Objectives The purpose of this study is to investigate the characteristics of Ryodoraku Score in the children who visited department of pediatrics, hospital of Korean medicine with allergic rhinitis as the chief complaint. Methods Subjects were 80 children with allergic rhinitis. We calculated the average Ryodoraku Score (RS, ${\mu}A$), and compared the average of each meridian system. And we classified the children by several groups (depending on age, additional allergic disease), and accomplished a comparative analysis. Results 1. The average of Ryodoraku Score in 80 children was $76.36{\pm}22.72$. 2. The figure of H3 (心), H5 (三焦), F1 (脾), F2 (肝), F3 (腎), F4 (膀胱), F5 (三焦), F6 (胃) had significant statistical differences compared to the total average. 3. Comparing the group having only allergic rhinitis to group having allergic rhinitis and other allergic disease, showed significant statistical difference in H2 (心包), H3 (心). 4. Analyzed by age, there's a significant statistical difference in F1 (脾), F4 (膀胱). Conclusion We found that H5 (三焦), F1 (脾), F4 (膀胱) showed significant statistical difference in Ryodoraku Score, and F1 (脾) had the highest relevance. The research indicate meaningful difference depending on age, additional allergic disease.

The Anti-inflammatory Effect of Cheongyeonsan for Allergic Rhinitis (알러지성 비염에 대한 청연산 추출물의 항염증효과)

  • Kim, Jeong Won;Ahn, Sang Hyun;Kim, Ki Bong
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.1
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    • pp.19-29
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    • 2018
  • Objectives This study investigated the effects of Cheongyeonsan for allergic rhinitis. Methods First, the GS/MS was used to analyze the effects of Cheongyeonsan by measuring inflammatory markers. Second, 3 groups of 10 6-week-old BALB/c mice were divided into Ctrl (no treatment), ARE (allergic rhinitis-induced without treatment), and CRT (allergic rhinitis-induced after Cheongyeonsan treatment) groups. Ovalbumin (OVA) was used as an antigen to induce allergic rhinitis and sensitization was performed by intraperitoneal injection of 0.1% OVA solution 21, 14, and 7 days before the onset of allergic rhinitis. Allergic rhinitis was induced by dropping OVA solution on the nasal cavity of each mouse for 5 days after the last sensitization. Seven days after the first induction, second induction was introduced by the same method. After making the section, MMP-9, substance P, $TNF-{\alpha}$, $NF-{\kappa}B$ p65, COX-2, iNOS and Nrf, apoptotic cells were observed by Masson trichrome staining, immunohistochemical staining, TUNEL of nasal mucosal tissues of each group. Results GC/MS results showed undecanoic acid. Masson trichrome results showed that the CRT group had less respiratory epithelial damage. Immunohistochemical staining showed CRT group had 58% decrease in MMP-9, 61% decrease in substance P, 55% decrease in $TNF-{\alpha}$, 38% decrease in $NF-{\kappa}B$ p65, 53% decrease in COX-2, 54% decrease in iNOS, 87% increase in Nrf compared to those of the ARE group. TUNEL showed a positive reaction of 84% increase in apoptotic cells greater than that of the ARE group. Conclusions Cheongyeonsan alleviates nasal mucosal damage and reduces inflammatory mediators from allergic rhinitis-induced mice.

Anti-inflammatory effects of Hataedock with Coptidis Rhizoma and Glycyrrhiza Uralensis on Allergic Rhinitis through Regulating IL-4 Activation (알레르기성 비염에서 황련-감초 하태독법의 IL-4활성 조절을 통한 항염증효과)

  • Jung, A Ram
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.2
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    • pp.116-122
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    • 2019
  • The aim of this study is to evaluate the anti-inflammatory effect of Hataedock treatment using Coptidis Rhizome and Glycyrrhiza Uralensis (CG) mixed extract in allergic rhinitis induced NC/Nga mice. We divided NC/Nga mice into 3 groups as follows; allergic rhinitis-induced group after CG Hataedock treatment (CGT, n=10), no treatment group (Ctrl), allergic rhinitis elicited group (ARE). To induce allergic rhinitis, NC/Nga mice of 3 weeks age were sensitized on 7, 8 and 9week by Ovalbumin (OVA) antigen in intranasal space. Hataedock using CG extract was administered on week 3 in allergic rhinitis-induced group (CGT) after Hataedock treatment. To identify distribution of Interlukin (IL)-4, Cluster of differentiation 40 (CD40), high-affinity IgE receptor ($Fc{\varepsilon}RI$), substance P, Matrix metallopeptidase 9 (MMP-9), Nuclear $factor-{\kappa}B$ ($NF-{\kappa}B$) p65, Inducible nitric oxide synthase (iNOS) and Cycloxygenase-2 (COX-2), we used histological examination. CGT significantly inhibited IL-4 and CD40 response compared with ARE. The reduction of Th2 cytokine expression decreased inflammatory mediators such as $Fc{\varepsilon}RI$, substance P, MMP-9, $NF-{\kappa}B$ p65, iNOS and COX-2. Such immunological improvement induced reduction of respiratory epithelial damage and mucin secretion in goblet cell. These results indicate that Hataedock treatment suppresses allergic rhinitis through modulating of Th2 responses and diminishing various inflammatory mediators in nasal mucosal tissue. It might have potential applications for prevention and treatment of allergic rhinitis.

The effects of mask applied aromatherapy on allergic rhinitis symptoms, fatigue, and quality of life related to allergic rhinitis in the COVID-19 era: a randomized controlled trial

  • Jihoo Her;Myung-Haeng Hur
    • Journal of Korean Biological Nursing Science
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    • v.26 no.3
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    • pp.177-184
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    • 2024
  • Purpose: Even after allergic rhinitis is diagnosed and treated, various symptoms such as runny nose, sneezing, and itchy nose recur periodically due to various environmental factors. Methods: This randomized controlled trial was conducted to confirm the effectiveness of mask-based aromatherapy as a method of alleviating allergic rhinitis during the coronavirus disease 2019 (COVID-19) pandemic. The study participants were adults between the ages of 19 and 60 who were diagnosed with allergic rhinitis and had a Total Nasal Symptom Score (TNSS) of 2 or more. Participants were randomly assigned to an aromatherapy group that was provided aromatherapy essential oils and a control group that did not receive aromatherapy. Participants in the aromatherapy group were asked to drop an aromatherapy essential oil onto a disposable face mask and wear it twice a day for two weeks. Results: The aromatherapy group experience significant alleviation of allergic rhinitis symptoms (visual analogue scale, F = 11.22, p < .001; TNSS, F = 15.82, p < .001). The aromatherapy group also showed significantly higher improvements in fatigue (F = 8.28, p < .001), allergic rhinitis-specific quality of life (F = 11.12, p < . 001). Conclusion: The oils used in this study appeared to be effective in relieving the symptoms of allergic rhinitis. In particular, the mask drop inhalation method was applied in light of mandatory mask-wearing due to the global COVID-19 pandemic during this study period. Mask drop inhalation is a method of inhaling oil close to the nose and is considered an effective method for reducing the inconvenience of applying oil.