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Table 1 Asthma in guidelines on rhinitis

From: Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report

Guideline Author, year Chapter Diagnostic or therapeutic considerations
Clinical practice guideline: allergic rhinitis [6] Seidman, 2015 Statement 5. Chronic Conditions and Comorbidities: Clinicians should assess patients with a clinical diagnosis of allergic rhinitis for, and document in the medical record, the presence of associated conditions such as asthma, atopic dermatitis, sleep-disordered breathing, conjunctivitis, rhinosinusitis, and otitis media Evaluation of allergic rhinitis must always include the assessment of asthma. The clinician should inquire about typical symptoms such as dyspnea, cough, wheezing, and exercise-related symptoms. A physical examination should be performed, and the evaluation must be repeated at the follow-up visits, particularly in children. Spirometry must be performed whenever asthma is suspected
Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 Revision [5] Brozek, 2010 VI. Treatment of allergic rhinitis and asthma in the same patient Recommendations about medical treatment and immunotherapy: subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT)
The diagnosis and management of rhinitis. An updated practice parameter [4] Wallace, 2008 Major comorbid conditions
Lung function tests must be considered in patients with rhinitis
Treatment of allergic rhinitis may improve asthma control in patients with coexisting allergic rhinitis and asthma
Treatment of allergic rhinitis with intranasal corticosteroids and certain second-generation antihistamines may improve asthma control when both diseases coexist
Allergen immunotherapy may prevent the development of new allergen sensitizations and reduce the risk for the future development of asthma in patients with allergic rhinitis
BSACI (British Society for Allergy and Clinical Immunology) guidelines for the management of allergic and non-allergic rhinitis [3] Scadding, 2008 Co-morbid association
Rhinitis and asthma–the link
Treatment of rhinitis is associated with improvement of asthma (Grade of recommendation, A)
Patients with comorbid asthma and rhinitis receiving treatment for allergic rhinitis have a significantly lower risk of hospitalization or emergency department visits for asthma
Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 Update [2] Bousquet, 2008 9. Link between rhinitis and asthma Allergic rhinitis should be considered a risk factor for asthma along with other known risk factors
Patients with persistent allergic rhinitis must be evaluated for asthma based on symptoms, physical examination, and, if possible lung function tests (spirometry pre- and post-bronchodilator). Patients with asthma must be appropriately evaluated (history and physical examination) for rhinitis
A combined strategy for the treatment of both upper and lower airway diseases is strongly recommended