Prevalence and Pattern of Inhalant Allergens among Allergic Rhinitis Patients in Vellore – A Cross Sectional Study
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Abstract
INTRODUCTION: Allergic rhinitis is a global health problem but often neglected and its burden, underestimated. Knowledge on its epidemiology is important for its diagnosis and treatment. Hence, this study was conducted to assess the prevalence and pattern of various inhalant allergens among allergic rhinitis patients in Vellore district.
METHODS: Cross sectional study was conducted among 300 adult patients diagnosed with allergic rhinitis in Vellore district, between July - December 2019. Detailed history with a structured questionnaire & skin prick test after informed consent was done. The common inhalant (house dust, cotton dust, aspergillus, pollens, parthenium and cockroach) were tested. Chi square test was done and P<0.05 was considered statistically significant
RESULTS: Majority,75%(n=225) were allergic to house dust, 68%(n=204) to cockroach and 67% (n=201) to parthenium,54.3% (n=163) to pollen. 44% (n=132) to cotton dust and 42.7%(n=128) to aspergillus respectively. Middle age group (26-40 years) was commonly affected. Though gender and place of residence showed difference clinically there was no statistical significance
CONCLUSION: Prevalence of inhalant allergens is high. Majority affected with house dust and cockroach. Allergic rhinitis varies in accordance with location & environmental conditions. In addition to the well-established pharmacotherapy, self-management after understanding their trigger will help reduce the morbidity.
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References
Bousquet, J., N. Khaltaev, A.A. Cruz, J. Denburg, W.J. Fokkens and A. Togias. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008. Allergy, 2008;63:8–160
Angier, E., J. Willington, G. Scadding, S. Holmes and S. Walker.Management of allergic and non-allergic rhinitis: a primary care summary of the BSACI guideline. Prim Care Respir. J., 2010;19:217–22
Wang, J., K.Engvall, G. Smedje and D. Norbäck. Rhinitis, asthma and respiratory infections among adults in relation to the home environment in multi-family buildings in Sweden. PLoS One, 2014;9:24–6
Chandrika, D.. Allergic rhinitis in India: an overview. Int. J Otorhinolaryngol Head Neck Surg., 2017;3(1):1-6
Sivakumar, E., K. Sivachandrabose and S. Krithiga. An overview of allergy rhinitis and its impact. International journal dental and medical sciences research, 2021;3(1):1142-6
Jovilia M Abong, Shirley L. Kwong, Hilda Diana A. Alava, Mary Anne R. Castor and Julia C. De Leon. Prevalence of allergic rhinitis in Filipino adults based on the National Nutrition and Health Survey 2008. Asia Pac. Allergy., 2012;2(2): 129–35
Hamood Ur-Rehman Malik, Krishan Kumar and Marianne Frieri. Minimal Difference in the Prevalence of Asthma in the Urban and Rural Environment. Clin. Med. Insights Pediatr., 2012;6: 33–9
Agrawal, S., N. Pearce and S. Ebrahim. Prevalence and risk factors for self-reported asthma in an adult Indian population: a cross-sectional survey. .Int . J. Tuberc Lung Dis., 2013;17(2): 275–82
Young, E.T., C. Zhang, K. M. Shokat, P.K. Parua and K. A. Braun. The AMP-activated Protein Kinase Snf1 Regulates Transcription Factor Binding, RNA Polymerase II Activity, and mRNA Stability of Glucose repressed Genes in Saccharomyces cerevisiae. J Biol Chem., 2012;17; 287(34): 29021–34
Daniel Zamanfar, Javad Ghaffari, Salar Behzadnia, Jamshid Yazdanicharati and Sahar Tavakoli. The Prevalence of Allergic Rhinitis, Eczema and Asthma in Students of Guidance Schools in Mazandaran Province. Iran.Open Access Maced J Med Sci., 2016;4(4): 619–23
Jyothirmayi, K and P. Kumar. Analysis of distribution of allergens and its seasonal variations in allergic rhinitis. J. Med. Sci., 2019;5(3): 59-62
Settipane, R. A and P. Lieberman. Update on non-allergic rhinitis. Ann Allergy Asthma Immunol., 2001;86:494-507-8
Cazzoletti, L., M. Ferrari, M. Olivieri, G. Verlato, L. Antonicelli and R. Bono. The gender, age and risk factor distribution differs in self reported allergic and nonallergic rhinitis: a cross-sectional population based study. Allergy, Asthma Clin. Immunol, 2015;11:36
Annesi-Maesano, I, S. Rouve, H. Desqueyroux, R. Jankovski, J. M. Klossek and M. Thibaudon. Grass pollen counts, air pollution levels and allergic rhinitis severity. Int. Arch Allergy Immunol. 2012;158:397–404
Kurpp, V.P., H. D. Shen and H. Vijay. Immunobiology of fungal allergens. International Archives of Allergy and Immunology, 2002;129(3), 181-8
Bernstein, I.L., J.T. Li and D.I. Bernstein. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol., 2008;100: S1- S148.