Local allergic rhinitis in Asia: rethinking the allergy landscape.

IF 2.6 4区医学 Q2 ALLERGY Current Opinion in Allergy and Clinical Immunology Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI:10.1097/ACI.0000000000001069

Aneeza W Hamizan, Salina Husain, Pongsakorn Tantilipikorn

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Abstract

Purpose of review: Local allergic rhinitis (LAR) is increasingly recognized as a distinct phenotype of chronic rhinitis, yet its prevalence and characteristics in Asia remain underexplored. Given the variability in reported LAR prevalence across regions, this review re-evaluates the allergy landscape in Asia, considering environmental and immunological factors, as well as study methodology that may contribute to differences from Western populations.

Recent findings: There were more Asian studies which reported lower prevalence (0-20%), in contrast to higher rates in Europe, particularly Mediterranean countries. Urbanization, air pollution, and high dust mite exposure may be important factors of nonatopic rhinitis in Asia. Diagnostic approaches, including nasal-specific IgE and provocation tests, vary across studies, impacting prevalence estimates.

Summary: The lower reported LAR prevalence in Asia suggests potential differences in underlying mechanisms or diagnostic limitations. Further research is needed to refine diagnostic criteria, explore environmental triggers, and assess the clinical relevance of LAR in Asian populations. A better understanding of LAR in Asia could guide targeted management strategies and improve recognition of this condition in clinical practice.

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亚洲局部变应性鼻炎：重新思考过敏景观。

综述目的：局部变应性鼻炎（LAR）越来越被认为是一种独特的慢性鼻炎表型，但其在亚洲的患病率和特征仍未得到充分研究。考虑到不同地区报告的LAR患病率的差异，本综述重新评估了亚洲的过敏状况，考虑了环境和免疫因素，以及可能导致与西方人群差异的研究方法。最近的发现：有更多的亚洲研究报告发病率较低（0-20%），而欧洲，特别是地中海国家的发病率较高。城市化、空气污染和尘螨暴露可能是亚洲地区非特应性鼻炎的重要因素。诊断方法，包括鼻腔特异性IgE和激发试验，在不同的研究中有所不同，影响了患病率估计。总结：亚洲报告的较低的LAR患病率表明潜在机制或诊断局限性的潜在差异。需要进一步的研究来完善诊断标准，探索环境诱因，并评估亚洲人群LAR的临床相关性。更好地了解亚洲的LAR可以指导有针对性的管理策略，并在临床实践中提高对该病症的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Allergy and Clinical Immunology 医学-过敏

CiteScore

5.90

自引率

3.60%

发文量

109

审稿时长

6-12 weeks

期刊介绍： This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on one to three topics, every issue of Current Opinion in Allergy and Clinical Immunology delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as upper airway disease; mechanisms of allergy and adult asthma; paediatric asthma and development of atopy; food and drug allergies; and immunotherapy.