Rhinitis, danger attention!

Rhinitis, danger attention!
The nose which runs, the eyes which picotent… anything low register think you. On the contrary, it east can be allergic rhinitis, an affection treated too a long time with lightness. Nonneat, it can degenerate towards a disease much more serious: asthma.

Is one born allergic or it is become? This question in pleasing another for the parents: how to make to prevent that the next child also suffers him from this disease? Many studies made it possible to observe that when the two parents are allergic, the probability of having allergic children is of 50% and the proportion is even more important if the couple have the same allergy. When none the parents is reached, the proportion falls at 10%. If there exists well a genetic predisposition to the appearance of the allergies, the explosion of the number of cases cannot be only charged to this “determinism”.

Pollution and food diversification
It appears that the environmental factors in the broad sense are largely responsible. Not so much atmospheric pollution, as one calculated a long time, than the food and passive smoking. Committed food diversification too precociously with fish, egg, the cow's milk introduction… supports the appearance in the first two years of the life of the infant of the atopic dermatites. Around 7 years the child can become asthmatic and with adolescence to present an allergic rhinitis. A study published in 1995 in New England Journal off Medicine*, a medical check of reference showed that on 826 children observed, 13,7% of those which had episodes of breathing whistling at the 3 years age, always had this problem at 6 years.

The allergic young person will become adult
The studies in the adults reveal that approximately a third of the adults suffers from allergic rhinitides with for consequence an important and durable deterioration of quality of life (nose which runs, scrapes, is stopped, eyes which scrape, somnolence, etc). It is easy to imagine the school difficulties and professional that these problems cause in particular in period of examinations, in particular in spring and the beginning of the summer. According to a study carried out in France in 1997, the allergic rhinitis would involve 7,7 million days of sick leave per annum, representing an annual cost of 1,5 billion d'€uros. Beyond, its not-catch in load can cause complications: “28% of the patients suffering from rhinitis have asthma” specifies Pr Alain Didier, pneumo-allergist at the Rangueil Hospital in Toulouse.

New classification ARIA
In 2001, WHO crossed an important step by publishing the program ARIA (Allergic Rhinitis and its Impact one Asthma) who draws up an inventory of fixtures of the allergic rhinitis. Its objective is to present a strategy of prevention of asthma to ensure a better taken of load by the doctors. The study shows that 80% of asthmatic presented beforehand a rhinitis. An early assumption of responsibility could have made it possible to avoid the aggravation of the disease and its evolution. It is a sign potentially heralding and a risk factor up to that point underestimated.

The group of expert of ARIA proposed, after 4 years of work and the study of 2.700 bibliographical references, a new classification with the WHO based on the severity of the symptoms and their duration, while placing itself from the point of view of quality of life rather than on symptomatology. The antihistamines by oral way or corticoids by nasal way constitute the therapeutic classes most effective for a light allergic rhinitis. For more important symptoms the doctors can prescribe a corticoid by general way. The put forth recommendations are still relatively recent and their diffusion will be slow. Ten years will be necessary to evaluate if these recommendations made it possible to stabilize or to make decrease the frequency of the allergic rhinitides.