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The ARHINASD (Allergic Rhinitis in Pediatric Subjects With Nasal Septum Deviation) Project

Recruiting
Conditions
Rhinitis, Allergic
Interventions
Other: Data collection
Registration Number
NCT06139185
Lead Sponsor
Federico II University
Brief Summary

Allergic rhinitis is one of the most common inflammatory conditions of the upper airway mucosa, especially in the pediatric population with a prevalence of approximately 25%. It is among the most common chronic inflammatory diseases globally and is caused by IgE-mediated reactions to inhaled allergens, often co-occurring with asthma and causing severe burdens and disabilities worldwide. Allergic rhinitis can in fact seriously compromise the quality of life, significantly influencing school performance, social life and the quality of sleep. It is known that the most common symptoms characterizing allergic rhinitis (itching of the nose, sneezing, rhinorrhea and nasal/sinus obstruction) are partly overlapping with those due to a condition of deviation of the nasal septum and a recent study has shown how 87 % of patients with persistent allergic rhinitis are affected by at least 1 of the 7 types of nasal septum deformity. Deviation of the nasal septum is a very frequent anatomical disorder and is present in up to 48% of children and adolescents in the general population. The deviation narrows the affected nostril canal, reducing the flow of air that passes through the nostrils, predisposing to chronic mucosal inflammation with inflammatory infiltrate and in turn increasing the risk of developing chronic rhinitis and sinusitis. There are no data in the literature that correlate nasal septum deviation with an increased risk of developing allergic rhinitis. Given these premises, the ARHINASD (Allergic Rhinitis in pediatric topics with Nasal Septum Deviation) study was designed with the primary objective of evaluating the presence of allergic rhinitis in a sample of patients with and without deviation of the nasal septum.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
69
Inclusion Criteria
  • Caucasian ethnicity
  • both sexes
  • age between 6 and 14 years
  • written informed consent.
Exclusion Criteria
  • Non-Caucasian ethnicity
  • Age <6 and >14 years

Concomitant presence of:

  • chronic diseases
  • malignancies
  • immunodeficiency
  • chronic infections
  • autoimmune diseases
  • chronic inflammatory intestinal diseases
  • celiac disease
  • genetic diseases
  • metabolic diseases
  • cystic fibrosis
  • chronic pulmonary diseases
  • malformations of the cardiovascular system
  • malformations of the respiratory system
  • malformations of the gastrointestinal system
  • neuropsychiatric disorders
  • neurological diseases
  • obesity
  • eosinophilic diseases
  • antibiotics use in the last 7 days
  • cortisone use in the last 7 days
  • antihistamines use in the last 7 days

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients with nasal septum deviationData collection-
Patients without nasal septum deviationData collection-
Primary Outcome Measures
NameTimeMethod
Presence of allergic rhinitis12 months

Complete clinical and anamnestic evaluation and allergy screening test (Skin-Prick Test).

Secondary Outcome Measures
NameTimeMethod
Peak inspiratory nasal flow12 months

PNIF test

Total IgE of nasal wash supernatant12 months

ELISA kit

Quality of life questionnaire12 months

Quality of life questionnaire (VAS)

Nasal cytology12 months

Performed with the nasal scraping to obtain cells which are then stained with May-Grunwald and Giemsa staining and observed using an optical microscope

Cytokines (IL-13, IL-9, IL-33, IL-5, INFγ, β-defensin, IL-17, TNFα) of nasal wash supernatant12 months

ELISA kit

Trial Locations

Locations (2)

University of Naples Federico II

🇮🇹

Naples, Italy

Department of Traslational Medical Science - University of Naples Federico II

🇮🇹

Naples, Italy

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