Allergic conjunctivitis in asthmatic children: as common as underreported

Chong-Neto, Herberto José; Rosário, Nelson; Westphal, Gabriele L. C.; Riedi, Carlos Antônio; Santos, Hevertton L. B. S.

doi:10.1016/j.anai.2010.08.020

Cited by 27 publications

(23 citation statements)

References 6 publications

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“…Most patients suffer from concomitant allergic rhinitis, although 6% have isolated ocular symptoms [2]. Up to 44% of children and 20% of adults with asthma have symptoms suggestive of allergic conjunctivitis (AC) [4]. There are also established links between allergic rhinoconjunctivitis and other atopic conditions including asthma, eczema, food allergy and eosinophilic esophagitis ( Fig.…”

Section: Introductionmentioning

confidence: 99%

A contemporary look at allergic conjunctivitis

Dupuis

Prokopich

Hynes³

et al. 2020

Allergy Asthma Clin Immunol

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Allergic eye disease is common, yet often overlooked in North America. In the U.S., up to 40% of the population is deemed to be affected and this number is growing. Symptoms and signs of ocular allergy can lead to decreased productivity and negatively impact quality of life (QoL). Various treatment options exist to achieve symptom control. For allergic conjunctivitis, ophthalmic agents include antihistamines, mast cell stabilizers, dual-activity agents, nonsteroidal anti-inflammatory drugs (NSAIDs), steroids and some off-label treatments. Immunotherapy is recommended as a therapeutic option. This review provides a summary of the forms of ocular allergies, with a focus on symptoms and signs, impact on QoL, physical examination, diagnosis and therapeutic options of allergic conjunctivitis. Through multidisciplinary collaborations, a simplified algorithm for the treatment of allergic conjunctivitis is proposed for Canadian clinical practice.

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Section: Introductionmentioning

confidence: 99%

A contemporary look at allergic conjunctivitis

Dupuis

Prokopich

Hynes³

et al. 2020

Allergy Asthma Clin Immunol

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“…This is the reason for seasonal allergic rhinoconjunctivitis being only recently identified in our country (39). IgE sensitization rates to grass pollen are increasing in atopic children and currently, may be close to 20% (40). In addition to grass, there is no other relevant pollen allergen, such as trees or weeds.…”

Section: Exposure and Sensitization To Inhalant Allergensmentioning

confidence: 97%

Pediatric allergy and immunology in Brazil

Rosário-Filho

Jacob

Solé

et al. 2013

Pediatric Allergy Immunology

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The subspecialty of pediatric allergy and immunology in Brazil is in its early years and progressing steadily. This review highlights the research developed in the past years aiming to show the characteristics of allergic and immunologic diseases in this vast country. Epidemiologic studies demonstrated the high prevalence of asthma in infants, children, and adolescents. Mortality rates and average annual variation of asthma hospitalization have reduced in all pediatric age groups. Indoor aeroallergen exposure is excessively high and contributes to the high rates of allergy sensitization. Prevalence of food allergy has increased to epidemic levels. Foods (35%), insect stings (30%), and drugs (23%) are the main etiological agents of anaphylaxis in children and adolescents. Molecular diagnosis of primary immunodeficiencies (PID) showed a high incidence of fungal infections including paracoccidioidomycosis in X-linked hyper-IgM syndrome, and the occurrence of BCG adverse reactions or other mycobacterial infections in patients with chronic granulomatous disease. Education in pediatric allergy and immunology is deficient for medical students, but residency programs are effective in training internists and pediatricians for the practice of allergy. The field of PID requires further training. Last, this review is a tribute to Prof. Dr. Charles Naspitz, one of the pioneers of our specialty in Brazil.

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“…Em aproximadamente um terço dos casos pode ser acompanhada da asma alérgica 47,48 . Além do acometimento frequente das vias aéreas inferiores, estima-se que mais da metade dos pacientes com RA apresentem sintomas oculares compatíveis com conjuntivite alérgica, embora frequentemente o quadro ocular seja negligenciado 49,50 . Estudos recentes sugerem que até 50% da população pode apresentar sintomas sugestivos de alergia ocular, o que se denomina rinoconjuntivite alérgica (RCA) 51 .…”

Section: Rinoconjuntivite Alérgicaunclassified