Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease

Background: Sickle cell disease (SCD) is the most frequent of the hereditary hemoglobinopathies and presents significant morbimortality. Upper respiratory obstruction is a common clinical manifestation in these patients. Objective: To quantify the prevalence of allergic rhinitis (AR) and evaluat...

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Autores principales: Camila Novais e Silva, Ricardo Reis Dinardi, Cássio da Cunha Ibiapina, Cláudia Ribeiro de Andrade
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PT
Publicado: Sociedade Portuguesa de Pediatria 2021
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spelling oai:doaj.org-article:b97181e467ff42f8847596f273fe8bd72021-11-04T15:21:24ZRhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease2184-33332184-4453https://doaj.org/article/b97181e467ff42f8847596f273fe8bd72021-11-01T00:00:00Zhttps://pjp.spp.pt/article/view/21467https://doaj.org/toc/2184-3333https://doaj.org/toc/2184-4453 Background: Sickle cell disease (SCD) is the most frequent of the hereditary hemoglobinopathies and presents significant morbimortality. Upper respiratory obstruction is a common clinical manifestation in these patients. Objective: To quantify the prevalence of allergic rhinitis (AR) and evaluate nasal respiratory function in children and adolescents with SCD. Methods: A cross-sectional study was carried out in a reputable Brazilian blood center between July and October 2017. Patients aged between 6 and 18 years with a diagnosis of SCD were included. Measurements for peak nasal inspiratory flow (PNIF), visual analogue scale (VAS) and rhinomanometry were taken. Results: AR was confirmed in 37.4% of the 99-patient sample. Approximately 70% of patients with sickle cell disease and allergic rhinitis were not treated for rhinitis and several were unaware of their diagnosis. Means of 96.6 ± 34.3% of the PNIF predicted value and 0.35 ± 0.21 (Pa / cm3 / s) for rhinomanometry were found. Mean VAS was 4.9 ± 3.2. Conclusion: This study showed a high prevalence of AR in patients with SCD, in addition to significant PNIF and rhinomanometry alterations. Considering the severity of these patients, it is expected that the recognition and treatment of AR will contribute to improved quality of life. Camila Novais e SilvaRicardo Reis DinardiCássio da Cunha IbiapinaCláudia Ribeiro de AndradeSociedade Portuguesa de PediatriaarticlePediatricsRJ1-570Medicine (General)R5-920ENPTPortuguese Journal of Pediatrics , Vol 52, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
PT
topic Pediatrics
RJ1-570
Medicine (General)
R5-920
spellingShingle Pediatrics
RJ1-570
Medicine (General)
R5-920
Camila Novais e Silva
Ricardo Reis Dinardi
Cássio da Cunha Ibiapina
Cláudia Ribeiro de Andrade
Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease
description Background: Sickle cell disease (SCD) is the most frequent of the hereditary hemoglobinopathies and presents significant morbimortality. Upper respiratory obstruction is a common clinical manifestation in these patients. Objective: To quantify the prevalence of allergic rhinitis (AR) and evaluate nasal respiratory function in children and adolescents with SCD. Methods: A cross-sectional study was carried out in a reputable Brazilian blood center between July and October 2017. Patients aged between 6 and 18 years with a diagnosis of SCD were included. Measurements for peak nasal inspiratory flow (PNIF), visual analogue scale (VAS) and rhinomanometry were taken. Results: AR was confirmed in 37.4% of the 99-patient sample. Approximately 70% of patients with sickle cell disease and allergic rhinitis were not treated for rhinitis and several were unaware of their diagnosis. Means of 96.6 ± 34.3% of the PNIF predicted value and 0.35 ± 0.21 (Pa / cm3 / s) for rhinomanometry were found. Mean VAS was 4.9 ± 3.2. Conclusion: This study showed a high prevalence of AR in patients with SCD, in addition to significant PNIF and rhinomanometry alterations. Considering the severity of these patients, it is expected that the recognition and treatment of AR will contribute to improved quality of life.
format article
author Camila Novais e Silva
Ricardo Reis Dinardi
Cássio da Cunha Ibiapina
Cláudia Ribeiro de Andrade
author_facet Camila Novais e Silva
Ricardo Reis Dinardi
Cássio da Cunha Ibiapina
Cláudia Ribeiro de Andrade
author_sort Camila Novais e Silva
title Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease
title_short Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease
title_full Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease
title_fullStr Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease
title_full_unstemmed Rhinitis Prevalence and Nasal Respiratory Function of Children and Adolescents with Sickle Cell Disease
title_sort rhinitis prevalence and nasal respiratory function of children and adolescents with sickle cell disease
publisher Sociedade Portuguesa de Pediatria
publishDate 2021
url https://doaj.org/article/b97181e467ff42f8847596f273fe8bd7
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AT cassiodacunhaibiapina rhinitisprevalenceandnasalrespiratoryfunctionofchildrenandadolescentswithsicklecelldisease
AT claudiaribeirodeandrade rhinitisprevalenceandnasalrespiratoryfunctionofchildrenandadolescentswithsicklecelldisease
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