Publication: International expert consensus on the management of allergic rhinitis (AR) aggravated by air pollutants: Impact of air pollution on patients with AR: Current knowledge and future strategies
Issued Date
2020-03-01
Resource Type
ISSN
19394551
Other identifier(s)
2-s2.0-85082825464
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Allergy Organization Journal. Vol.13, No.3 (2020)
Suggested Citation
Robert Naclerio, Ignacio J. Ansotegui, Jean Bousquet, G. Walter Canonica, Gennaro D'Amato, Nelson Rosario, Ruby Pawankar, David Peden, Karl Christian Bergmann, Leonard Bielory, Luis Caraballo, Lorenzo Cecchi, S. Alfonso M. Cepeda, Herberto José Chong Neto, Carmen Galán, Sandra N. Gonzalez Diaz, Samar Idriss, Todor Popov, German D. Ramon, Erminia Ridolo, Menachem Rottem, Wisuwat Songnuan, Philip Rouadi International expert consensus on the management of allergic rhinitis (AR) aggravated by air pollutants: Impact of air pollution on patients with AR: Current knowledge and future strategies. World Allergy Organization Journal. Vol.13, No.3 (2020). doi:10.1016/j.waojou.2020.100106 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/54577
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Title
International expert consensus on the management of allergic rhinitis (AR) aggravated by air pollutants: Impact of air pollution on patients with AR: Current knowledge and future strategies
Author(s)
Robert Naclerio
Ignacio J. Ansotegui
Jean Bousquet
G. Walter Canonica
Gennaro D'Amato
Nelson Rosario
Ruby Pawankar
David Peden
Karl Christian Bergmann
Leonard Bielory
Luis Caraballo
Lorenzo Cecchi
S. Alfonso M. Cepeda
Herberto José Chong Neto
Carmen Galán
Sandra N. Gonzalez Diaz
Samar Idriss
Todor Popov
German D. Ramon
Erminia Ridolo
Menachem Rottem
Wisuwat Songnuan
Philip Rouadi
Ignacio J. Ansotegui
Jean Bousquet
G. Walter Canonica
Gennaro D'Amato
Nelson Rosario
Ruby Pawankar
David Peden
Karl Christian Bergmann
Leonard Bielory
Luis Caraballo
Lorenzo Cecchi
S. Alfonso M. Cepeda
Herberto José Chong Neto
Carmen Galán
Sandra N. Gonzalez Diaz
Samar Idriss
Todor Popov
German D. Ramon
Erminia Ridolo
Menachem Rottem
Wisuwat Songnuan
Philip Rouadi
Other Contributor(s)
Humanitas University
Vieillissement et Maladies Chroniques. Approches Épidémiologiques et de Santé Publique
Universidad de Cartagena
Universite de Versailles Saint-Quentin-en-Yvelines
The Ruth and Bruce Rappaport Faculty of Medicine
Emek Medical Center
Charité – Universitätsmedizin Berlin
Università degli Studi di Firenze
Seton Hall University
Nippon Medical School
Università degli Studi di Napoli Federico II
Universidade Federal do Parana
Mahidol University
Instituto Universitario del Hospital Italiano de Buenos Aires
Università degli Studi di Parma
Universidad de Cordoba
Johns Hopkins School of Medicine
Alexander's University Hospital Clinic of Allergy & Asthma
UNC Center for Environmental Medicine
Prato - USL Toscana Centro
Fundación Hospital Universitario Metropolitano de Barranquilla
Hospital Quironsalud Bizkaia
Centro Medico San Francisco
Eye and Ear Hospital
Vieillissement et Maladies Chroniques. Approches Épidémiologiques et de Santé Publique
Universidad de Cartagena
Universite de Versailles Saint-Quentin-en-Yvelines
The Ruth and Bruce Rappaport Faculty of Medicine
Emek Medical Center
Charité – Universitätsmedizin Berlin
Università degli Studi di Firenze
Seton Hall University
Nippon Medical School
Università degli Studi di Napoli Federico II
Universidade Federal do Parana
Mahidol University
Instituto Universitario del Hospital Italiano de Buenos Aires
Università degli Studi di Parma
Universidad de Cordoba
Johns Hopkins School of Medicine
Alexander's University Hospital Clinic of Allergy & Asthma
UNC Center for Environmental Medicine
Prato - USL Toscana Centro
Fundación Hospital Universitario Metropolitano de Barranquilla
Hospital Quironsalud Bizkaia
Centro Medico San Francisco
Eye and Ear Hospital
Abstract
© 2020 The Authors Allergic rhinitis affects the quality of life of millions of people worldwide. Air pollution not only causes morbidity, but nearly 3 million people per year die from unhealthy indoor air exposure. Furthermore, allergic rhinitis and air pollution interact. This report summarizes the discussion of an International Expert Consensus on the management of allergic rhinitis aggravated by air pollution. The report begins with a review of indoor and outdoor air pollutants followed by epidemiologic evidence showing the impact of air pollution and climate change on the upper airway and allergic rhinitis. Mechanisms, particularly oxidative stress, potentially explaining the interactions between air pollution and allergic rhinitis are discussed. Treatment for the management of allergic rhinitis aggravated by air pollution primarily involves treating allergic rhinitis by guidelines and reducing exposure to pollutants. Fexofenadine a non-sedating oral antihistamine improves AR symptoms aggravated by air pollution. However, more efficacy studies on other pharmacological therapy of coexisting AR and air pollution are currently lacking.