Diagnostik und Therapie der allergischen Rhinitis/Rhinokonjunktivitis

T. Ankermann; M. V. Kopp; M. Gerstlauer

doi:10.1055/s-0038-1669487

Kinder- und Jugendmedizin, Table of Contents

Kinder- und Jugendmedizin 2018; 18(04): 257-264
DOI: 10.1055/s-0038-1669487

Allergologie

Georg Thieme Verlag

Diagnostik und Therapie der allergischen Rhinitis/Rhinokonjunktivitis

State of the ArtDiagnostic and therapy of allergic rhinitis/rhinokonjunctivisstate of the art

T. Ankermann

¹Klinik für Kinder- und Jugendmedizin I, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Medizinische Fakultät der Christian-Albrechts-Universität zu Kiel

,

M. V. Kopp

²Sektion Pädiatrische Pneumologie & Allergologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Universität zu Lübeck, Airway Research Center North (ARCN), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)

,

M. Gerstlauer

³II. Klinik für Kinder und Jugendliche, Klinikum Augsburg

› Author Affiliations

Abstract

Zusammenfassung

Die allergische Rhinitis (AR) ist die häufigste chronische Erkrankung bei Kindern und Jugendlichen. Die AR wird zu häufig nicht diagnostiziert, nicht behandelt und in ihrer Bedeutung unterschätzt. Neben den charakteristischen Symptomen Niesen, nasaler Juckreiz, behinderte Nasenatmung und Rhinorrhoe belastet die Erkrankung auch durch Beeinträchtigung der Lebensqualität und Verschlechterung eines bestehenden Asthma bronchiale. Die Diagnose beruht auf Anamnese, charakteristischen Symptomen, Analyse der Sensibilisierung durch Haut-Prick-Test (HPT) oder Bestimmung spezifischer IgE-Antikörper und evtl. spezifischen Provokationstesten. Die Therapie besteht aus Allergenkarenz, Kochsalzspülungen, Pharmakotherapie mit Antihistaminika, Chromonen, Glukokortikoiden und der spezifischen Immuntherapie.

Summary

Allergic rhinitis (AR) is the most common chronic disease in children and adolescents. It is commonly underdiagnosed and undertreated and the importance is underestimated. Beside the characteristic symptoms sneezing, itching, blocking and rhinorrhoea AR impairs the quality of life and deteriorates an existing asthma bronchiale. The diagnosis is based on the history, characteristic symptoms, analysis of sensitization with skinprick-test or analysis of specific IgE. Therapy involves allergen avoidance, saline douching, and a pharmacotherapy with antihistaminics, cromones, glucocorticoids and allergen specific immunotherapy.

Schlüsselwörter

Allergische Rhinitis - Kinder - Diagnostik - Therapie

Keywords

Allergic Rhinitis - children - diagnostic - therapy

Full Text

References

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