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Could seasonal allergy be a risk factor for acute rhinosinusitis in children?

Published online by Cambridge University Press:  18 January 2018

G Leo ,
C Incorvaia ,
A Cazzavillan ,
D Consonni  and
G V Zuccotti
G Leo*
Affiliation:
Pediatric Allergy and Respiratory Pathophysiology Unit, Department of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Italy
C Incorvaia
Affiliation:
Cardiac/Pulmonary Rehabilitation Unit, Azienda Socio Sanitaria Territoriale Gaetano Pini/Centro Traumatologico Ortopedico, Milan, Italy
A Cazzavillan
Affiliation:
Department of Pediatric Otorhinolaryngology, Vittore Buzzi Children's Hospital, Milan, Italy
D Consonni
Affiliation:
Epidemiology Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca’ Granda – Ospedale Maggiore Policlinico, Milan, Italy
G V Zuccotti
Affiliation:
Department of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Italy
*
Address for correspondence: Dr Gualtiero Leo, Pediatric Allergy and Respiratory Pathophysiology Unit, Department of Pediatrics, University of Milan, Via Castelvetro 32, 20154 Milan, Italy Fax: +39 02 57995741 E-mail: gualtiero.leo@asst-fbf-sacco.it.
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Abstract

Objective:

To evaluate the incidence of acute rhinosinusitis in children with grass pollen induced rhinitis during the period of grass pollinosis.

Methods:

Children with nasal symptoms from grass pollen induced rhinitis but without rhinosinusitis symptoms were selected. Their parents were asked to complete a diary during pollen exposure to report nasal symptoms and drugs used daily. When rhinosinusitis was suspected, the confirmatory diagnosis of acute rhinosinusitis was made by fibro-endoscopy. Children without inhalant allergy served as controls.

Results:

Seventeen out of 242 children (7.0 per cent) had a diagnosis of acute rhinosinusitis, confirmed by fibro-endoscopy, during grass pollination, compared to 3 out of 65 (4.6 per cent) in the control group (p = 0.49). Among allergic children, those with acute rhinosinusitis had symptoms for a greater number of days and/or a higher symptoms score than children without acute rhinosinusitis.

Conclusion:

Children with grass pollen induced rhinitis during exposure to pollen have an incidence of endoscopically confirmed acute rhinosinusitis comparable to non-allergic children. This suggests that grass pollen induced rhinitis is a negligible risk factor for acute rhinosinusitis.

Keywords

SinusitisSeasonal Allergic RhinitisChildrenEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 150 - 153
Copyright
Copyright © JLO (1984) Limited 2018 

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