Allergic Rhinitis in Children: Principles of Early Diagnosis and Effective Therapy. Overview of Clinical Recommendations

The article briefly summarizes the key provisions of the clinical recommendations on medical care delivery for children with allergic rhinitis: modern approaches to diagnosis and therapy. The current document was developed by the professional association of pediatric specialists —the Union of Pediatricians of Russia — together with the leading experts of the Russian Association of Allergists and Clinical Immunologists. The recommendations are regularly updated due to the latest evidence-based results of effectiveness and safety of various medical interventions. The article presents information on the epidemiology of allergic rhinitis in children, specific diagnostic features which provide the opportunity for the timely and correct diagnosis and an effective therapy with personal approach.

1. Akdis CA, Agache I, editors. Global atlas of allergy. Zurich: EAACI; 2014. 388 p.

2. Akdis CA, Agache I, editors. Global atlas of allergic rhinitis and chronic rhinosinusitis. Zurich: EAACI; 2017. 452 p.

3. А.А. Баранов, Л.С. Намазова-Баранова, Р.М. Хаитов, и др. Аллергический ринит у детей. Клинические рекомендации Союза педиатров России. — М.: Союз педиатров России; 2016. [A.A. Baranov, L.S. Namazova-Baranova, R.M. Khaitov, et al. Allergicheskii rinit u detei. Klinicheskie rekomendatsii Soyuza pediatrov Rossii. Moscow: Soyuz pediatrov Rossii; 2016. (In Russ).]

4. Aït-Khaled N, Pearce N, Anderson HR, et al. Global map of the prevalence of symptoms of rhinoconjunctivitis in children: The International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three. Allergy. 2009;64(1):123–148. doi: 10.1111/j.1398-9995.2008.01884.x.

5. Bousquet J, Khaltaev N, Cruz AA, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA2LEN and AllerGen). Allergy. 2008;63 Suppl 86:8–160. doi: 10.1111/j.1398-9995.2007.01620.x.

6. Аллергия у детей: от теории — к практике / Под ред. НамазовойБарановой Л.С. — М.: Союз педиатров России; 2011. 668 с. [Allergiya u detei: ot teorii — k praktike. Ed by Namazova-Baranova L.S. Moscow: Soyuz pediatrov Rossii; 2011. 668 p. (In Russ).]

7. Вишнёва Е.А., Намазова-Баранова Л.С., Алексеева А.А., и др. Современные принципы терапии аллергического ринита у детей // Педиатрическая фармакология. — 2014. — Т.11. — №1 — С. 6–14. [Vishneva EA, Namazova-Baranova LS, Alexeyeva AA, et al. Modern principles of allergic rhinitis therapy in children. Pediatric pharmacology. 2014;11(1):6–14. (In Russ).] doi: 10.15690/pf.v11i1.889.

8. Roberts G, Xatzipsalti M, Borrego LM, et al. Paediatric rhinitis: position paper of the European Academy of Allergy and Clinical Immunology. Allergy. 2013;68(9):1102–1116. doi: 10.1111/all.12235.

9. Papadopoulos NG, Bernstein JA, Demoly P, et аl. Phenotypes and endotypes of rhinitis and their impact on management: a PRACTALL report. Allergy. 2015;70(5):474–494. doi: 10.1111/all.12573.

10. Pfaar O, Demoly P, Gerth van Wijk R, et аl. Recommendations for the standardization of clinical outcomes used in allergen immunotherapy trials for allergic rhinoconjunctivitis: an EAACI Position Paper. Allergy. 2014;69(7):854–867. doi: 10.1111/all.12383.

11. Bousquet J, Schunemann HJ, Fonseca J, et аl. MACVIA-ARIA Sentinel NetworK for allergic rhinitis (MASK-rhinitis): the new generation guideline implementation. Allergy. 2015;70(11):1372–1392. doi: 10.1111/all.12686.

12. Курбачева О.М., Павлова К.С., Козулина И.Е. Аллергенспецифическая иммунотерапия: история, методы и новые возможности // Медицинский совет. — 2013. — №3–2 — С. 10–19. [Kurbacheva OM, Pavlova KS, Kozulina IE. Allergen-specific immunotherapy: history, methods and new options. Meditsinskii sovet. 2013;(3–2):10–19. (In Russ).]

13. Вишнёва Е.А., Намазова-Баранова Л.С. Аллергенспецифическая иммунотерапия у детей: перспективы профилактики и лечения // Педиатрическая фармакология. — 2015. — Т.12. — №5 — С. 532–536. [Vishnyova EA, Namazova- Baranova LS. Allergen- specific immunotherapy in children: prospects of prevention and treatment. Pediatric pharmacology. 2015;12(5):532-536. (In Russ).] doi: 10.15690/pf.v12i5.1454.