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Title: Objective improvement in nasal congestion and nasal hyperreactivity with use of nasal steroids in persistent allergic rhinitis
Authors: Wandalsen, Gustavo F. [UNIFESP]
Mendes, Aline I. [UNIFESP]
Sole, Dirceu [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Keywords: Acoustic rhinometry
allergic rhinitis
nasal congestion
nasal hyperreactivity
nasal provocation test
nasal steroid
symptoms scores
Issue Date: 1-Jan-2010
Publisher: Ocean Side Publications Inc
Citation: American Journal of Rhinology & Allergy. Providence: Ocean Side Publications Inc, v. 24, n. 1, p. E32-E36, 2010.
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)
ISSN: 1945-8924
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