Determination of Risk Factors for Allergic and Non-Allergic Rhinitis

Authors : Nurhan Kasap, Mustafa Safa Tural, Gizem Uslu, Pınar Yağmur Altinkaynak, Dilek Keles, Ayşe Cavidan Sonkur Sonkur, Fatma Bal Cetinkaya, Leman Tuba Karakurt, Özlem Cavkaytar, Mustafa Arga

Pages : 61-69

Doi:10.20515/otd.1591896

View : 45 | Download : 74

Publication Date : 2025-01-17

Article Type : Research Paper

Abstract :Allergic rhinitis (AR) and non-allergic rhinitis (NAR) are common respiratory conditions affecting pediatric populations. This study aimed to investigate the risk factors and clinical characteristics of AR and NAR in children. A retrospective study was conducted at Goztepe Professor Suleyman Yalcin City Hospital\\\'s Pediatric Allergy and Immunology outpatient clinic. Between August 2023 and August 2024, 327 patients under 18 were diagnosed with AR or NAR. Data were collected through computerized questionnaires completed by parents. Patients were classified into AR and NAR groups based on skin prick tests and specific IgE results. Statistical analysis was performed using SPSS version 26.0. Of the 327 patients, 31.5% were diagnosed with NAR and 68.5% with AR. No significant differences were found in age of diagnosis, gender distribution, or symptom onset age between groups. AR patients had more siblings and house residents (p=0.047, p=0.05, respectively). C-section births and indoor smoking were more prevalent in the AR group (p=0.018, p=0.031, respectively). Breastfeeding for over one year was more common in NAR patients (p=0.011). AR patients more frequently experienced symptom exacerbation during school time (p=0.029). Logistic regression analysis revealed that playing outside and paracetamol use before age 1 increased NAR risk (p=0.008, p=0.044, respectively), while eczema and recurrent wheezing after age 1 increased AR risk (p=0.025, p=0.018, respectively). This study identifies distinct risk factors and clinical characteristics for AR and NAR in pediatric patients, providing valuable insights for differential diagnosis and management strategies in clinical practice.
Keywords : Alerjik rinit, Non-alerjik rinit, rinit risk faktörleri