Vasomotor rhinitis in children

Abstract

Background: Chronic rhinitis is a prevalent healthcare challenge with diverse clinical manifestations and causes. Vasomotor rhinitis (VMR) is a subtype often diagnosed when allergies are excluded. Despite its significant impact, limited literature exists on VMR, especially in children. Methods: We studied 230 children under 18 with chronic rhinitis, focusing on those diagnosed with VMR. Detailed clinical histories, endoscopy, nasal swab microscopy, CT scans, and IgE levels were assessed. Results: Out of the cohort, 126 children (54.7%) had VMR, with a majority in older age groups. Notably, 65% were male. Common VMR symptoms included nasal congestion (99.2%), irritability (82.5%), rhinorrhea (79.3%), and postnasal cough (77.8%). Endoscopic findings revealed mucosal congestion (77.7%), turbinate hypertrophy (35%), and nasal discharge (31.7%). Additionally, 26.2% had negative adrenergic test results. Vasomotor rhinitis often exhibits autonomic dysregulation, neurological manifestations, and heightened reactivity to various stimuli. Conclusion: Vasomotor rhinitis, especially in children, remains an understudied condition. The etiology, pathogenesis, and management of VMR require further investigation, as it poses a significant healthcare challenge. Improved diagnostic methods and treatment outcomes are needed to address this common condition in pediatric populations. This study underscores the necessity of further research to enhance our understanding and management of VMR in children.