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Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo
AIM: To determine the clinical and allergic features of uncontrolled allergic rhinitis (UCAR) in the Democratic Republic of Congo (DRC). METHODS: Observational cross‐sectional study of 311 patients with UCAR. Allergic rhinitis was diagnosed clinically with sensitization to inhalant allergens and the...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842815/ https://www.ncbi.nlm.nih.gov/pubmed/31532078 http://dx.doi.org/10.1002/iid3.272 |
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author | Kakobo, Patricia K. Kalala, Hilaire K. Tshibola, Maguy M. Kelekele, Joseph K. Nyembue, Dieudonné T. Hellings, Peter W. |
author_facet | Kakobo, Patricia K. Kalala, Hilaire K. Tshibola, Maguy M. Kelekele, Joseph K. Nyembue, Dieudonné T. Hellings, Peter W. |
author_sort | Kakobo, Patricia K. |
collection | PubMed |
description | AIM: To determine the clinical and allergic features of uncontrolled allergic rhinitis (UCAR) in the Democratic Republic of Congo (DRC). METHODS: Observational cross‐sectional study of 311 patients with UCAR. Allergic rhinitis was diagnosed clinically with sensitization to inhalant allergens and then confirmed by skin prick test. Severity was assessed using the Visual Analog Scale (VAS), with VAS scores greater than or equal to 5 used as cut off to determine uncontrolled status. RESULTS: The mean age of UCAR patients was 30.7 ± 15.1 years and 66.9% of the patients were females. Three out of four patients had persistent UCAR while the remainder had intermittent symptoms. UCAR was associated with rhinosinusitis and asthma in 18.6% and 18% of the patients, respectively. Among UCAR patients, 95.2% were polysensitized. The allergens most frequently involved were mites (82%), cat (27.3%), and dog (26.7%). The most frequent symptoms were nasal congestion, sneezing, and runny nose. There were 44.4% of the patients treated with nasal corticosteroids and 33.1% with oral antihistamine (anti‐H1). CONCLUSIONS: This study reports on the clinical phenotype of UCAR in the DRC. The findings contribute to our understanding of UCAR in this population and may be used to implement strategies to reduce the prevalence and burden of UCAR in this setting. |
format | Online Article Text |
id | pubmed-6842815 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68428152019-11-22 Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo Kakobo, Patricia K. Kalala, Hilaire K. Tshibola, Maguy M. Kelekele, Joseph K. Nyembue, Dieudonné T. Hellings, Peter W. Immun Inflamm Dis Original Research AIM: To determine the clinical and allergic features of uncontrolled allergic rhinitis (UCAR) in the Democratic Republic of Congo (DRC). METHODS: Observational cross‐sectional study of 311 patients with UCAR. Allergic rhinitis was diagnosed clinically with sensitization to inhalant allergens and then confirmed by skin prick test. Severity was assessed using the Visual Analog Scale (VAS), with VAS scores greater than or equal to 5 used as cut off to determine uncontrolled status. RESULTS: The mean age of UCAR patients was 30.7 ± 15.1 years and 66.9% of the patients were females. Three out of four patients had persistent UCAR while the remainder had intermittent symptoms. UCAR was associated with rhinosinusitis and asthma in 18.6% and 18% of the patients, respectively. Among UCAR patients, 95.2% were polysensitized. The allergens most frequently involved were mites (82%), cat (27.3%), and dog (26.7%). The most frequent symptoms were nasal congestion, sneezing, and runny nose. There were 44.4% of the patients treated with nasal corticosteroids and 33.1% with oral antihistamine (anti‐H1). CONCLUSIONS: This study reports on the clinical phenotype of UCAR in the DRC. The findings contribute to our understanding of UCAR in this population and may be used to implement strategies to reduce the prevalence and burden of UCAR in this setting. John Wiley and Sons Inc. 2019-09-18 /pmc/articles/PMC6842815/ /pubmed/31532078 http://dx.doi.org/10.1002/iid3.272 Text en © 2019 The Authors. Immunity, Inflammation and Disease Published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Kakobo, Patricia K. Kalala, Hilaire K. Tshibola, Maguy M. Kelekele, Joseph K. Nyembue, Dieudonné T. Hellings, Peter W. Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo |
title | Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo |
title_full | Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo |
title_fullStr | Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo |
title_full_unstemmed | Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo |
title_short | Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo |
title_sort | pattern of uncontrolled allergic rhinitis in a hospital setting of kinshasa, democratic republic of congo |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842815/ https://www.ncbi.nlm.nih.gov/pubmed/31532078 http://dx.doi.org/10.1002/iid3.272 |
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