Comorbidities of allergic rhinitis in children

Key message Allergic rhinitis in children often goes undiagnosed or untreated, with significant systemic complications like sleep disorders, growth issues, and gastrointestinal symptoms linked to nasal obstruction. A patient-centered action plan that considers symptom severity, preferences, and comprehensive management of associated complications is essential for effective treatment.Allergic rhinitis is the most common chronic disease in children worldwide.In Korea, 42.2% of children have symptoms of allergic rhinitis; however, only 38.2% are diagnosed with and 21.2% are treated for allergic rhinitis. 1)he main symptoms of allergic rhinitis are sneezing, runny nose, itchy nose, and nasal obstruction, which can lead to other systemic conditions.The problem is that, while patients with mild or intermittent rhinitis are well aware of their symptoms, it is not uncommon for patients with severe or persistent rhinitis or their caregivers to be unaware that they have nasal obstruction. 2,3)