Objective improvement in nasal congestion and nasal hyperreactivity with use of nasal steroids in persistent allergic rhinitis

Objective improvement in nasal congestion and nasal hyperreactivity with use of nasal steroids in persistent allergic rhinitis

Author Wandalsen, Gustavo F. Autor UNIFESP Google Scholar
Mendes, Aline I. Autor UNIFESP Google Scholar
Sole, Dirceu Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: Our objective was to evaluate the action of topical nasal steroid in nasal congestion and nasal hyper-reactivity in children and adolescents with persistent allergic rhinitis.Methods: Twenty atopic children and adolescents (6 to 18 years) with moderate-to-severe persistent allergic rhinitis (PAR) were treated with mometasone furoate (100 mu g once a day) for 21 days. At the beginning and end of treatment, the following were recorded: a) nasal symptoms score; b) several parameters of nasal congestion measured by acoustic rhinometry (SRE 2000 Rhinometrics); c) degree of nasal hyper-reactivity to histamine (concentration of histamine necessary to induce at least 100% increase in total nasal resistance during nasal provocation test). Data were compared with those from 20 controls.Results: Compared to controls, PAR patients had significantly higher score of symptoms, as well as higher degree of nasal hyper-reactivity and lower nasal volumes. After treatment, there was a significant decrease in the mean nasal symptoms score (8.0 versus 3.8; p < 0.001) and in the nasal hyper-reactivity (histamine concentration: 0.72 mg/ml versus 2.60 mg/ml; p < 0.001). Congestion improvement was observed by the increase in all acoustic rhinometry parameters. Among all studied volumes, the volume in the segment between 2 and 5 cm showed the highest mean increase (19.8%).Conclusion: Treatment with topical nasal steroid objectively reduced nasal congestion and nasal histamine hyper-reactivity in children and adolescents with PAR. (Am J Rhinol Allergy 24, e32-e36, 2010; doi: 10.2500/ajra.2010.24.3427)
Keywords Acoustic rhinometry
allergic rhinitis
nasal congestion
nasal hyperreactivity
nasal provocation test
nasal steroid
symptoms scores
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Date 2010-01-01
Published in American Journal of Rhinology & Allergy. Providence: Ocean Side Publications Inc, v. 24, n. 1, p. E32-E36, 2010.
ISSN 1945-8924 (Sherpa/Romeo, impact factor)
Publisher Ocean Side Publications Inc
Extent E32-E36
Origin http://dx.doi.org/10.2500/ajra.2010.24.3427
Access rights Closed access
Type Article
Web of Science ID WOS:000292634500008
URI http://repositorio.unifesp.br/handle/11600/32163

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