DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194302

Prevalence of asthma and association with the allergic rhinitis among the patients attending a tertiary care hospital of district Varanasi: a cross sectional study

Raj Kamal Singh

Abstract


Background: The prevalence of Bronchial Asthma and Allergic Rhinitis is increasing not only in developing countries but also in developed as well. These two has been the subject of several epidemiological investigations and found an overlapping of symptoms between both diseases.

Methods: Present study conducted on the patients attending the OPD of Department of TB and chest, Institute of Medical Sciences, Banaras Hindu University, Varanasi  and confirmed diagnosis of asthma and allergic rhinitis were made using spirometry and nasal-endoscopy respectively.

Results: 110 participants of age between 15 to more than 56 years were included attending the OPD of Department of TB and Chest with signs and symptoms related to the asthma.  32(29.09%) participants were age group of 15-25 years, 34(30.09%) of 26-35 years,18(16.36%) of 36-45 years and 15(14%) participants were from age group of 46-55years and rest 11(9%) were of 56years and above. common symptom was found nasal discharge 62(79.48%)  participants followed by headache which was there in 59(75.64%) participants, excessive sneezing was found in 54(69.23%) participants and facial, postnasal discharge was found in 48(61.53%) of participants .Only 6(5.45%) participants had confirmed asthma. 6 asthmatic participants undergone the nasal endoscopy and out of 6(100%), 4(66.66%) had confirmed the diagnosis of allergic rhinitis but association was not found statistically significant.

Conclusions: The prevalence of bronchial asthma was higher among the younger age group  Due to the overlapping of the symptoms between asthma and allergic rhinitis confirmatory diagnostic tools should be used before starting the treatment.


Keywords


Allergic rhinitis, Asthma, Spirometry

Full Text:

PDF

References


World Health Organisation. Asthma. Fact sheet no.307, 2011. Available at: http://www.who.int/mediacentre/factsheets/fs307/en/index.html.

Zhang Y, Zhang L. Prevalence of allergic rhinitis in china. Allergy, Asthma Immunol research. 2014 Mar 1;6(2):105-13.

Schoenwetter WF, Dupclay L Jr., Appajosyula S, Botteman MF, Pashos CL. Economic impact and quality-of-life burden of allergic rhinitis. Curr Med Res Opin. 2004;20(3):305-17.

Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al.Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (incollaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008;63 Suppl 86:8-160.

Bunyavanich S, Soto-Quiros ME, Avila L, Laskey D, Senter JM, Celedon JC. Risk factors for allergic rhinitis in Costa Rican children with asthma. Allergy. 2010;65(2):256-63.

Jacobs TS, Forno E, Brehm JM, Acosta-Perez E, Han YY, Blatter J, et al. Underdiagnosis of allergic rhinitis in underserved children. J Allergy Clin Immunol. 2014;134(3):737-9

Corren J, Manning BE, Thompson SF, Hennessy S, Strom BL. Rhinitis therapy and the prevention of hospital care for asthma: a case–control study. J Allergy Clin Immunol. 2004;113(3):415-9.

Bousquet J, Bousquet PJ. Godard P, Daures JP, “The public health implications of asthma,” Bulletin of the WHO. 2005;83(7);548-54.

Cruz AA, Popov T, Pawankar R, Annesi‐Maesano I, Fokkens W, Kemp J, et al. ARIA Initiative Scientific Committee. Common characteristics of upper and lower airways in rhinitis and asthma: ARIA update, in collaboration with GA2LEN. Allergy. 2007 Nov;62:1-41.

Leynaert B, Neukirch C, Kony S, Guénégou A, Bousquet J, Aubier M, et al. European Community Respiratory Health Survey. Association between asthma and rhinitis according to atopic sensitization in a population-based study. J Allergy and Clin Immunol. 2004 Jan 1;113(1):86-93.

Brożek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Aller Clin Immunol. 2010 Sep 1;126(3):466-76.

Shaaban R, Zureik M, Soussan D, Neukirch C, Heinrich J, Sunyer J, et al. Rhinitis and onset of asthma: a longitudinal population-based study. The Lancet. 2008 Sep 20;372(9643):1049-57.

Van Den Nieuwenhof L, Schermer T, Bosch Y, Bousquet J, Heijdra Y, Bor H, et al. Is physician‐diagnosed allergic rhinitis a risk factor for the development of asthma? Allergy. 2010 Aug;65(8):1049-55.

Caimmi D, Marseglia A, Pieri G, Benzo S, Bosa L, Caimmi S. Nose and lungs: one way, one disease. Italian J pediatr. 2012 Dec;38(1):60.

Aggarwal AN, Chaudhry K, Chhabra SK, D Souza GA, Gupta D, Jindal SK, et al. Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study. Indian Journal of Chest Diseases and Allied Sciences. 2006 Jan 18;48(1):13.

Mehta Parthiv, supplement to Journal of the association of physicians of india. March 2014;62;23-6.

Jindal SK, Aggarwal AN, Gupta D, Agarwal R, Kumar R, Kaur T, et al. Indian study on epidemiology of asthma, respiratory symptoms and chronic bronchitis in adults (INSEARCH). The Int J Tuberculosis and Lung Disease. 2012 Sep 1;16(9):1270-7.

Bhalla K, Nehra D, Nanda S, Verma R, Gupta R, Mehra S, et al. J Fam Med Pri Care, November-December 2018;7(6).

Montnemery P, Svensson C, Ädelroth E, Löfdahl CG, Andersson M, Greiff L, et al. Prevalence of nasal symptoms and their relation to self-reported asthma and chronic bronchitis/emphysema. Eur Res J. 2001 Apr 1;17(4):596-603.

Leynaert B, Neukirch C, Kony S, Guénégou A, Bousquet J, Aubier M, et al. European Community Respiratory Health Survey. Association between asthma and rhinitis according to atopic sensitization in a population-based study. J All Cli Imm. 2004 Jan 1;113(1):86-93.