Aug 11, 2006

Allergic rhinitis and sinusitis in asthma: differential effects on symptoms and pulmonary function

Chest
A E DixonCharles G Irvin

Abstract

Allergic rhinitis and sinusitis are frequently associated with asthma. The purpose of this study was to determine the impact of self-reported allergic rhinitis and sinusitis on lower airway disease in a large cohort of participants with well-characterized asthma. A cohort study of participants in two trials of the American Lung Association-Asthma Clinical Research Centers: 2,031 asthmatics in the Safety of Inactivated Influenza Vaccine in Asthma in Adults and Children (SIIVA) trial and 488 asthmatics in the Effectiveness of Low Dose Theophylline as Add-on Treatment in Asthma (LODO) trial. At baseline, participants reported the presence of allergic rhinitis and sinusitis, and then lung function and asthma control were measured. During the trials, participants were monitored for asthma exacerbations. More than 70% of participants reported either allergic rhinitis or sinusitis. Sinusitis was more common in female patients (odds ratio, 1.46 [SIIVA]), those with gastroesophageal reflux disease (odds ratio, 2.21 [SIIVA]), and those of white race (odds ratio, 1.53 [SIIVA]). Similar associations were seen for allergic rhinitis. LODO participants with allergic rhinitis and sinusitis had increased asthma symptoms and a trend toward more ...Continue Reading

  • References25
  • Citations56

References

  • References25
  • Citations56

Citations

Mentioned in this Paper

Prevalence Studies
Vaccines, Inactivated
Lung
Influenza virus vaccine
Broncholytic Effect
Respiratory Physiology
Cross-Over Studies
Odds Ratio
Pulmonary Function Tests
Asthma

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