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Purpose of Review Most children and adolescents with allergic rhinitis (AR) present extra-nasal multimorbid conditions, including conjunctivitis, asthma, atopic dermatitis, rhinosinusitis, or seromucous otitis. Additionally, they may present nasal obstructive disor- ders, such as septal deformity, turbinate enlargement, and adenoidal hyperplasia, which worsen nasal symptoms, especially nasal obstruction. This is a narrative review on the current state of the concomitant presence of AR and one or more multimorbidities. Recent Findings The presence of AR and one or more accompanying multimorbidities is associated to a higher severity and duration of the disease, a negative impact on quality of life, with worse control and lack of improvement with medical treatment. Therefore, AR needs to be managed with a multidisciplinary collaborative approach. Summary Pediatric AR needs to be considered in the context of a systemic disease, which requires a coordinated therapeutic strategy. . . . . . Keywords Pediatric allergic rhinitis Septal deformity Turbinate enlargement Adenoids Asthma Atopic dermatitis Introduction Multimorbidity is defined as the presence of one or more chronic conditions coexisting with a primary disease [16]. Allergic rhinitis (AR) is the most frequent chronic condition in When the primary organ is not known, such as in allergic childhood and adolescence
Current Allergy and Asthma Reports – Springer Journals
Published: Feb 22, 2019
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