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I Jáuregui,1 J Mullol,2,3
I Dávila,4 M Ferrer,5 J Bartra,6,3
A del Cuvillo,7 J Montoro,8
J Sastre,9,3 A Valero6,3 |
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1 Servicio de Alergología, Hospital de
Basurto, Bilbao, Spain
2 Unitat de Rinologia & Clínica de lOlfacte, Servei
dOto-rino-laringologia, Hospital Clínic Immunoal.lèrgia
Respiratòria Clínica i Experimental, IDIBAPS. Barcelona,
Spain
3 Centro de Investigación Biomédicac en Red de
Enfermedades Respiratorias (CIBERES)
4 Servicio de Inmunoalergia, Hospital Universitario,
Salamanca, Spain
5 Departamento de Alergia e Inmunología Clínica, Clínica
Universidad de Navarra, Pamplona, Spain
6 Unitat dAl.lèrgia, Servei de Pneumologia i Al.lèrgia
Respiratòria, Hospital Clinic (ICT), Barcelona, Spain
7 Clínica Dr. Lobatón, Cádiz, Spain
8 Unidad de Alergia, Hospital La Plana, Vila-Real (Castellón),
Spain
9 Servicio de Alergia, Fundación Jiménez Díaz, Madrid,
Spain |
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Abstract |
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Allergic rhinitis is
presently the most
common chronic
disorder in the
pediatric
population. It can
affect sleep at
night and cause
daytime sleepiness,
with school
absenteeism,
presenteeism or
inattention, mood
disturbances and
psychosocial
problems. All this
in turn can
contribute to reduce
school performance.
The correct
treatment of
allergic rhinitis
can improve school
performance, though
the first
generation
antihistamines have
unacceptable central
and anticholinergic
effects that can
actually worsen the
situation. The
second generation
antihistamines
constitute the drug
treatment of choice
for allergic
rhinitis in
children.
Vasoconstrictors
should not be used
in pediatric
patients, due to
their unpredictable
pharmacokinetics and
very narrow
therapeutic margin.
Intranasal
corticoids could
improve school
performance in some
patients, by
reducing nose block
or congestion, the
nocturnal sleep
disturbances, and
daytime sleepiness.
Concrete studies of
the impact of
chromones,
anticholinergic
agents,
antileukotrienes and
immunotherapy upon
school performance
are lacking.
Key words:
Allergy. Pediatric
allergy. Learning.
Quality of life.
School performance.
Psychomotor
performance.
Allergic rhinitis.
Allergic
rhinoconjunctivitis.
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