Severity Assessment of Japanese Cedar Pollinosis Using the Practical Guideline for the Management of Allergic Rhinitis in Japan and the Allergic Rhinitis and its Impact on Asthma Guideline
Severity Assessment of Japanese Cedar Pollinosis Using the Practical Guideline for the Management of Allergic Rhinitis in Japan and the Allergic Rhinitis and its Impact on Asthma Guideline
复制标题
DOI：
10.2332/allergolint.12-oa-0498
复制
发表时间：
2013-06-01
影响因子：
6.8
通讯作者：
Okubo, Kimihiro
中科院分区：
文献类型：
--
作者：
Gotoh, Minoru;Yuta, Atsushi;Okubo, Kimihiro
背景资料：本研究旨在使用日本过敏性鼻炎管理实用指南（PG-MARJ）和过敏性鼻炎及其对哮喘的影响（ARIA）指南评估日本雪松花粉症的严重程度。2005年中期，对花粉症患者进行了一项互联网问卷调查。2011年5月，从2011年2月至5月初有日本雪松花粉症潜在症状的3382名个体中获得了回复，这些个体至少在两个月内出现了这种症状。结果：按PG-MARJ标准，最严重鼻炎占23.5%，重度鼻炎占29.4%，中度鼻炎占31.3%，轻度鼻炎占13.8%，无症状鼻炎占2.0%。结论：PG-MARJ诊断中重度鼻炎占80%以上，ARIA诊断中重度鼻炎占90%以上。大多数受访者患有相对严重的花粉症。超过80%的受访者有所有三个主要症状（即，打喷嚏、流涕和鼻塞）。在两个指南之间的严重性评估的分歧，注意到约20%的受访者。
Background: This study intended to assess the severity of Japanese cedar pollinosis using the Practical Guideline for the Management of Allergic Rhinitis in Japan (PG-MARJ) and the Allergic Rhinitis and its Impact on Asthma (ARIA) Guideline.Methods: An Internet questionnaire survey of patients with pollinosis was conducted in mid-May 2011 and responses were obtained from 3382 individuals who had potential symptoms of Japanese cedar pollinosis from February to early May 2011 and who had experienced such symptoms for at least two pollen seasons.Results: According to PG-MARJ, 23.5% of the respondents had severest rhinitis, 29.4% severe rhinitis, 31.3% moderate rhinitis, 13.8% mild rhinitis and 2.0% asymptomatic rhinitis. According to ARIA, 67.2% of them had moderate/severe persistent rhinitis, 23.8% moderate/severe intermittent rhinitis, 4.4% mild persistent rhinitis and 4.6% mild intermittent rhinitis.Conclusions: Moderate to severe rhinitis was diagnosed in more than 80% of the respondents according to PG-MARJ, while moderate/severe rhinitis was diagnosed in more than 90% of the respondents according to ARIA. Most of the respondents suffered relatively severe pollinosis. More than 80% of the respondents had all the three major symptoms (i.e., sneezing, rhinorrhea and nasal blockage). Disagreement in the severity assessment between the two guidelines was noted in approximately 20% of the respondents.