Table 1 Asthma in guidelines on rhinitis
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 Asthma | 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 |