Characteristics of Rhinitis in Children in ORL-HNS Clinic of Hasan Sadikin Hospital Indonesia
Keywords:rhinitis, children, adolescents, characteristic
Background : Rhinitis is a common problem in children and adolescent that cause negative impacts on physical, social and psychological. Its prevalence is increased. Rhinitis is an inflammation of nasal epithelium which is characterized by nasal discharge, nasal obstruction, sneezing and nasal itching. It is classified into allergic rhinitis, infectious rhinitis and non-allergic non-infectious rhinitis. Rhinitis has comorbidities such as conjunctivitis, asthma, impaired hearing, rhinosinusitis, and sleep problems Purpose : To provide characteristic of rhinitis in pediatric population. Methods : This study is a descriptive study that was conducted at ORL-HNS clinic Hasan Sadikin Hospital during the period of January 2013-December 2013. The classification was based on Pediatric Rhinitis Position Paper of EAACI. There were 101 patient which age is range from 3-18 years old. The diagnosed based on anamnesis, physical examination, and skin prick test. Results : Most of the patient 48,3% was classified as allergic rhinitis. Followed by infectious rhinitis 37,3%, and non-allergic non-infectious rhinitis 25.2%. As a comorbidity conjunctivitis was found in 20,7% patients, rhinosinusitis 37,6%, asthma 5,9%, impaired hearing 19,8%, and sleep-problems 32,6%. Most common therapy was oral antihistamine 80,1% and intranasal corticosteroid 52,4%. Conclusion: Allergic rhinitis was the most prevalent classification in pediatric rhinitis patient at ORL-HNS clinic Hasan Sadikin Hospital according to Pediatric Rhinitis Position Paper of EAACI. There was significant correlation between nasal obstruction and sleep problems.
Key words: rhinitis, children, adolescents, characteristic
Roberts G., Xatzipsalti M., Paediatric rhinitis: position paper of the European academy of allergy and clinical immunology. Allergy. 2013; 68: 1102-1116
Asher MI, Montefort S, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC phases one and three repeat multicountry cross-sectional surveys. Lancet 2006. 368: 733â€“43
Arifianto A, Madiadipoera T. Karakteristik rinitis alergi di poliklinik departemen ilmu kesehatan THT-KL RS DR. Hasan Sadikin, 9th Jakarta International Functional Endoscopy Sinus Surgery. Jakarta; 2013.
Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008 Apr;63 Suppl 86:8-160.
Sin B and Togias A. Pathophysiology of Allergic and Nonallergic Rinitis. Proc Am Thorac Soc 2011; 8: 106â€“114
Krouse JH. The unified airway-conceptual framework. Otolaryngol clin n am. 2008.
Mims JW. Inhalant allergic in children. Otolaryngol clin n am. 2011; 44: 797-814
Gordon B., The Allergic March: Can we prevent Asthma?. Otolaryngology clin N Am. 2011;44:765-777
Bertelsen.RJ. Rhinitis in children: co-morbidities and phenotypes. Pediatric allergy and immunology. 2010; 21: 612-622
Rambe, AYM. Hubungan rinitis dan disfungsi tuba eustachius dengan menggunakan timpanometri. Otorhinolaryngologica Indonesiana. 2013; 43
Westman M, Stjarne P, Asarnoj A, Kull I et.all. Natural course and comorbidities of allergic and non allergic rhinitis in children. Departement of ENT Diseases, Karolonska Institutet, Stockholm. J allergy clin immunol, 2012;129:403-8
Lack G, Caulfield H, Penagos M. The link between otitis media with effusion and allergy: a potential role for intranasal corticosteroid. Pediatric allergy and immunology. 2010; 22: 1-10
Koinis-mitchel D, Craig T, Esteban CA, Klein RB. Sleep and allergic disease: A summary of the literature and future directions for research. J Allergy Clin Immunol. 2012;130(6): 1275-1281
Souse, RJ. Role of allergy in sleep-disordered breathing. Otolaryngol clin n am. 2011; 44: 625-635
Ameli F. Adenoidal hypertrophy and allergic rhinitis: is there an inverse relationship?. Am j rhinol allergy.2013; 27: e5-e10
Sardana N, Craig TJ. Congestion and sleep impairment in allergic rhinitis. Asian Pac J Allergy Immunol. 2011; 29:297-306
Turner PJ, Kemp AS. Allergic Rhinitis in Children. Department of Allergy & Immunology The Childrenâ€˜s at Westmead and University of Sydney, Sydney, New South Wales. Journal of Paediatric and Child Health Hospital, 2012; 48:302-310
Church MK, et al. Risk of first-generation H1-antihistamines: a GA 2 LEN position paper. Allergy 2010 ; 65: 459â€“466.
Tran NP, Vickery J, Blaiss MS. Management of rhinitis: allergic and non-allergic. Allergy asthma immunol res. 2011; 3: 149-156
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