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  • Eriksson, JonasGothenburg University,Göteborgs universitet,Krefting Research Centre (author)

Rhinitis phenotypes correlate with different symptom presentation and risk factor patterns of asthma

  • Article/chapterEnglish2011

Publisher, publication year, extent ...

  • London :Baillière Tindall,2011
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-48953
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-48953URI
  • https://doi.org/10.1016/j.rmed.2011.06.004DOI
  • https://gup.ub.gu.se/publication/144056URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Asthma and rhinitis frequently coexist, but no population study has previously determined the relationship between nasal comorbidities and symptom expression and risk factors of asthma.Methods: In 2008, a postal questionnaire on respiratory health was sent to 30 000 randomly selected subjects aged 16-75 years in West Sweden; 29218 could be traced and 18 087 (62%) responded. The questionnaire included questions on asthma, rhinitis, chronic rhinosinusitis, respiratory symptoms and possible determinants.Results: Prevalence of allergic rhinitis in asthma was 63.9% and of asthma in allergic rhinitis 19.8%. Prevalence of chronic rhinosinusitis in asthma was 8.4% and of asthma in chronic rhinosinusitis 24.4%. Asthma subjects with chronic rhinitis, or chronic rhinosinusitis, had more symptoms of asthma and bronchitis than those without rhinitis (p < 0.001). There was an obvious trend of higher ORs for various environmental exposures including occupational exposure to dust, gases and fumes (OR 2.32 vs. OR 1.44), visible mould at home (OR 1.72 vs. OR 1.27) and water damage at home (OR 1.82 vs. OR 1.06) for asthma with chronic rhinosinusitis than for asthma with allergic rhinitis. Family history of allergy yielded a higher OR for asthma with allergic rhinitis than with asthma with chronic rhinosinusitis (OR 7.15 vs. OR 4.48).Conclusion: Considerable overlap between asthma and nasal comorbidities was documented, confirming a close relationship between nasal disease and asthma. Allergic rhinitis, chronic rhinitis and chronic rhinosinusitis were associated with different risk factor patterns and symptom expression of asthma. Thus, different nasal comorbidities may reflect different phenotypes of asthma. (C) 2011 Elsevier Ltd. All rights reserved.

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  • Bjerg, AndersGothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xbjerg (author)
  • Lötvall, Jan,1956Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xlotja (author)
  • Wennergren, Göran,1947Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics(Swepub:gu)xwengo (author)
  • Rönnmark, EvaGothenburg University,Göteborgs universitet,Umeå universitet,Yrkes- och miljömedicin,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xronev (author)
  • Torén, Kjell,1952Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xtorkj (author)
  • Lundbäck, Bo,1948Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xlunbo (author)
  • Göteborgs universitetKrefting Research Centre (creator_code:org_t)

Related titles

  • In:Respiratory MedicineLondon : Baillière Tindall105:11, s. 1611-16210954-61111532-3064

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