A Multicenter Study of the Clinical Features of Allergic Rhinitis in Central China

Author:

Chen Jianjun1,Zhao Yan2,Li Bin3,Zhang Quanming1,Wan Lijia4,Liu Jun5,Tian Xingde6,Li Guoyi7,Zhou Jie8,Zhang Long9,Wang Pengju10,Cheng Qi11,Liang Jianwei12,Zhao Ping13,He Jingpei2,Lou Zhihong3,Lu Haitao4,Zhou Yi5,Zhang Yuanfen6,Chen Xiangjun7,Pan Fangming8,Zhang Zhimao9,Zeng Ligang10,He Benchao11,Zeng Ying12,Xu Xiaoyan13,Kong Weijia1

Affiliation:

1. Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

2. Department of Otorhinolaryngology, the First People's Hospital of Jingmen, Jingmen, China

3. Department of Otorhinolaryngology, Huangshi Central Hospital, Huangshi, China

4. Department of Otorhinolaryngology, Jingzhou Central Hospital, Jingzhou, China

5. Department of Otorhinolaryngology, Central Hospital of Enshi Prefecture, Enshi, China

6. Department of Otorhinolaryngology, Jingzhou First Hospital, Jingzhou, China

7. Department of Otorhinolaryngology, Taihe Hospital, Hubei University of Medicine, Shiyan, China

8. Department of Otorhinolaryngology, Xiaogan Central Hospital, Xiaogan, China

9. Department of Otorhinolaryngology, Yichang Central People's Hospital, Yichang, China

10. Department of Otorhinolaryngology, Xiangyang Central Hospital, Xiangyang, China

11. Department of Otorhinolaryngology, the First People's Hospital of Tianmen, Tianmen, China

12. Department of Otorhinolaryngology, Xianning Central Hospital, Xianning, China

13. Department of Otorhinolaryngology, General Hospital of Wuhan Steel and Iron Group Company, Hubei, China

Abstract

Background Several epidemiological surveys of allergic rhinitis (AR) have been conducted in China. However, the clinical features of AR are still not clear enough. The aim of the current study was to perform a multicenter investigation to evaluate the clinical features of AR in China. Methods A multicenter investigation was performed in 13 allergy centers in central China. A disease-related questionnaire was completed by each patient themselves or with guardian assistance after the diagnosis of AR. The clinical features of AR and allergen profile were analyzed. Results Eleven thousand four patients who were diagnosed with AR were recruited in this study. The percentages of classification of AR according to the Allergic Rhinitis and Its Impact on Asthma guidelines were 9.7% intermittent mild (IM), 3.1% persistent mild (PM), 33.9% intermittent moderate–severe (IMS), and 53.3% persistent moderate–severe (PMS). There were 61.6 and 42.2% AR patients who had concomitant ocular or lower respiratory symptoms in clinic. The occurrence of ocular and lower respiratory symptoms was found to be gradually increased from IM, PM, and IMS to PMS. Cold air and temperature change were the two most common factors triggering the nasal symptoms. Dermatophagoides pteronyssinus and Dermatophagoides farinae were the most important allergens of central China. Conclusions This study has contributed to a better understanding of clinical features of AR in China.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology,Immunology and Allergy

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