Epistaxis in children with allergic rhinitis: Clinical features and risk factors depending on the allergen profile.

Q3 Medicine Tunisie Medicale Pub Date : 2024-11-05 DOI:10.62438/tunismed.v102i11.5129
Amani Hachicha, Hamdi Chouchane, Houneida Boussafa, Senda Turki, Ferdaous Yangui, Ridha Charfi
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Abstract

Introduction: Epistaxis in children is a very common reason for consultation in ENT and pediatric emergencies. Most of these epistaxis are benign, but it is their recurrence that motivates anxious parents, to consult. Allergic rhinitis is a common pathology among children in Tunisia, it seemed interesting to us to study the association between allergic rhinitis and epistaxis.

Aim: Identify the clinical features and the risk factors for epistaxis in children with allergic rhinitis.

Methods: Retrospective descriptive cohort study over a period of 4 years, including children, who consulted for epistaxis at the ENT and CCF department of FSI Hospital, La Marsa Tunis. All cases were divided into 2 groups: ERA+ Group: epistaxis with allergic rhinitis versus ERA- Group: epistaxis without allergic rhinitis.

Results: 79 children were included, including 21 (26.6%) meeting the diagnostic criteria for allergic rhinitis. A female predominance was noted in the ERA+ group. In the ERA+ group, epistaxis mainly occurred in summer and autumn (38% and 28%) while it predominated in winter and summer in the ERA- group. Rhinorrhea and nasal pruritus were factors significantly associated with epistaxis in children with allergic rhinitis.

Conclusion: the ENT doctor must think about allergic rhinitis in case of Repetitive epistaxis in a child, and look for suggestive symptoms, particularly rhinorrhea and nasal prurit.

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过敏性鼻炎患儿的鼻衄:取决于过敏原特征的临床特征和风险因素。
简介儿童鼻衄是耳鼻喉科和儿科急诊的常见病。大多数鼻衄都是良性的,但正是由于鼻衄反复发作,才促使焦虑的家长前来就诊。过敏性鼻炎是突尼斯儿童的常见病,因此我们有兴趣研究过敏性鼻炎与鼻衄之间的关联。目的:确定过敏性鼻炎患儿鼻衄的临床特征和风险因素:回顾性描述性队列研究,为期 4 年,包括在突尼斯拉马尔萨 FSI 医院耳鼻喉科和 CCF 部门就诊的鼻衄患儿。所有病例分为两组:ERA+组:鼻衄伴有过敏性鼻炎;ERA-组:鼻衄不伴有过敏性鼻炎:结果:共纳入 79 名儿童,其中 21 人(26.6%)符合过敏性鼻炎诊断标准。ERA+组中女性居多。在ERA+组中,鼻衄主要发生在夏季和秋季(38%和28%),而在ERA-组中,鼻衄主要发生在冬季和夏季。鼻出血和鼻瘙痒是过敏性鼻炎患儿鼻衄的重要相关因素。结论:如果儿童出现反复鼻衄,耳鼻喉科医生必须考虑到过敏性鼻炎,并寻找提示性症状,尤其是鼻出血和鼻瘙痒。
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来源期刊
Tunisie Medicale
Tunisie Medicale Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
72
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