Disease Progression—the Allergy March

Allergic Rhinitis

In children, allergic rhinitis (AR) often signifies the emergence of respiratory illness and completion of the shift from food-borne to inhalant allergen sensitivities. Children experience AR differently from adults. In fact, AR is often misdiagnosed due to symptoms that differ from those seen in older patients. Symptoms that may present in children with AR include1,2:

  • Cough

  • Sore throat

  • Nasal voice

  • Halitosis (bad breath)

  • Weakness

  • Wiggling, wiping, rubbing, and pushing of the nose (also called the “allergic salute”)

  • Nasal crease caused by “allergic salute”

  • Rings under the eyes (also called “allergic shiners”)

AR facts and figures

  • Overall, AR is estimated to affect 20 to 40 million Americans3

  • Allergic rhinitis is very common among children. Estimates show that 42% of children are diagnosed with it by their 6th birthday4

  • In children, AR is often associated with a range of comorbid disorders, including1:

    • Recurrent otitis media
    • Sinusitis
    • Asthma
    • Sleep disorders
    • Behavioral and learning disorders

Why you should know the true cause
It’s important not to confuse allergic and non-allergic rhinitis. The symptoms are very similar, but different etiologies require different treatment.5 Generally 50% of all rhinitis is allergic, 50% non-allergic.5 Confirmed knowledge of underlying atopic disease allows the incorporation of avoidance measures and other allergy-based therapies (such as non-sedating antihistamines).2 History and physical alone yield a correct diagnosis of allergic disease only 50% of the time,6 so objective evidence is required. Click here to learn how specific IgE testing can help you taccurately diagnose and manage AR.