Allergic rhinitis in children with attention-deficit/hyperactivity disorder

Ashley Brawley, Bernard Silverman, Shannon Kearney, Denise Guanzon, Mark Owens, Harvey Bennett, Arlene Schneider

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Background: Both allergic rhinitis and attention-deficit/hyperactivity disorder (ADHD) are common pediatric conditions associated with learning difficulties and sleep disturbances. There are conflicting research data regarding the association between ADHD and atopic disorders. Objective: To determine the prevalence of allergic rhinitis in patients with physician-diagnosed ADHD. Methods: Patients 5 to 18 years of age who presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of ADHD to an outpatient pediatric psychiatry clinic were screened for allergic rhinitis with focused history, physical examination, and skin prick testing to common aeroallergens. Results: Thirty patients were interviewed, with 23 of these undergoing physical examination and skin prick testing. Eighty percent reported allergic rhinitis symptoms, whereas 61% had at least 1 positive prick skin test result. Forty-three percent showed typical physical signs of allergic rhinitis, 100% had a positive atopic family history, and 53% had other associated atopic disorders. Conclusions: Most children with ADHD displayed symptoms and skin prick test results consistent with allergic rhinitis. Nasal obstruction and other symptoms of allergic rhinitis could explain some of the cognitive patterns observed in ADHD, which might result from sleep disturbance known to occur with allergic rhinitis. Therefore, evaluation and treatment of allergic rhinitis could benefit patients with ADHD.

Original languageEnglish (US)
Pages (from-to)663-667
Number of pages5
JournalAnnals of Allergy, Asthma and Immunology
Volume92
Issue number6
DOIs
StatePublished - Jan 1 2004
Externally publishedYes

Fingerprint

Attention Deficit Disorder with Hyperactivity
Skin Tests
Physical Examination
Sleep
Pediatrics
Allergic Rhinitis
Skin
Nasal Obstruction
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry
Outpatients
Learning
Physicians
Research

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Brawley, Ashley ; Silverman, Bernard ; Kearney, Shannon ; Guanzon, Denise ; Owens, Mark ; Bennett, Harvey ; Schneider, Arlene. / Allergic rhinitis in children with attention-deficit/hyperactivity disorder. In: Annals of Allergy, Asthma and Immunology. 2004 ; Vol. 92, No. 6. pp. 663-667.
@article{3b1142553a1a40bda8fee490fe208a7a,
title = "Allergic rhinitis in children with attention-deficit/hyperactivity disorder",
abstract = "Background: Both allergic rhinitis and attention-deficit/hyperactivity disorder (ADHD) are common pediatric conditions associated with learning difficulties and sleep disturbances. There are conflicting research data regarding the association between ADHD and atopic disorders. Objective: To determine the prevalence of allergic rhinitis in patients with physician-diagnosed ADHD. Methods: Patients 5 to 18 years of age who presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of ADHD to an outpatient pediatric psychiatry clinic were screened for allergic rhinitis with focused history, physical examination, and skin prick testing to common aeroallergens. Results: Thirty patients were interviewed, with 23 of these undergoing physical examination and skin prick testing. Eighty percent reported allergic rhinitis symptoms, whereas 61{\%} had at least 1 positive prick skin test result. Forty-three percent showed typical physical signs of allergic rhinitis, 100{\%} had a positive atopic family history, and 53{\%} had other associated atopic disorders. Conclusions: Most children with ADHD displayed symptoms and skin prick test results consistent with allergic rhinitis. Nasal obstruction and other symptoms of allergic rhinitis could explain some of the cognitive patterns observed in ADHD, which might result from sleep disturbance known to occur with allergic rhinitis. Therefore, evaluation and treatment of allergic rhinitis could benefit patients with ADHD.",
author = "Ashley Brawley and Bernard Silverman and Shannon Kearney and Denise Guanzon and Mark Owens and Harvey Bennett and Arlene Schneider",
year = "2004",
month = "1",
day = "1",
doi = "10.1016/S1081-1206(10)61434-2",
language = "English (US)",
volume = "92",
pages = "663--667",
journal = "Annals of Allergy, Asthma and Immunology",
issn = "1081-1206",
publisher = "American College of Allergy, Asthma and Immunology",
number = "6",

}

Brawley, A, Silverman, B, Kearney, S, Guanzon, D, Owens, M, Bennett, H & Schneider, A 2004, 'Allergic rhinitis in children with attention-deficit/hyperactivity disorder', Annals of Allergy, Asthma and Immunology, vol. 92, no. 6, pp. 663-667. https://doi.org/10.1016/S1081-1206(10)61434-2

Allergic rhinitis in children with attention-deficit/hyperactivity disorder. / Brawley, Ashley; Silverman, Bernard; Kearney, Shannon; Guanzon, Denise; Owens, Mark; Bennett, Harvey; Schneider, Arlene.

In: Annals of Allergy, Asthma and Immunology, Vol. 92, No. 6, 01.01.2004, p. 663-667.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Allergic rhinitis in children with attention-deficit/hyperactivity disorder

AU - Brawley, Ashley

AU - Silverman, Bernard

AU - Kearney, Shannon

AU - Guanzon, Denise

AU - Owens, Mark

AU - Bennett, Harvey

AU - Schneider, Arlene

PY - 2004/1/1

Y1 - 2004/1/1

N2 - Background: Both allergic rhinitis and attention-deficit/hyperactivity disorder (ADHD) are common pediatric conditions associated with learning difficulties and sleep disturbances. There are conflicting research data regarding the association between ADHD and atopic disorders. Objective: To determine the prevalence of allergic rhinitis in patients with physician-diagnosed ADHD. Methods: Patients 5 to 18 years of age who presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of ADHD to an outpatient pediatric psychiatry clinic were screened for allergic rhinitis with focused history, physical examination, and skin prick testing to common aeroallergens. Results: Thirty patients were interviewed, with 23 of these undergoing physical examination and skin prick testing. Eighty percent reported allergic rhinitis symptoms, whereas 61% had at least 1 positive prick skin test result. Forty-three percent showed typical physical signs of allergic rhinitis, 100% had a positive atopic family history, and 53% had other associated atopic disorders. Conclusions: Most children with ADHD displayed symptoms and skin prick test results consistent with allergic rhinitis. Nasal obstruction and other symptoms of allergic rhinitis could explain some of the cognitive patterns observed in ADHD, which might result from sleep disturbance known to occur with allergic rhinitis. Therefore, evaluation and treatment of allergic rhinitis could benefit patients with ADHD.

AB - Background: Both allergic rhinitis and attention-deficit/hyperactivity disorder (ADHD) are common pediatric conditions associated with learning difficulties and sleep disturbances. There are conflicting research data regarding the association between ADHD and atopic disorders. Objective: To determine the prevalence of allergic rhinitis in patients with physician-diagnosed ADHD. Methods: Patients 5 to 18 years of age who presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of ADHD to an outpatient pediatric psychiatry clinic were screened for allergic rhinitis with focused history, physical examination, and skin prick testing to common aeroallergens. Results: Thirty patients were interviewed, with 23 of these undergoing physical examination and skin prick testing. Eighty percent reported allergic rhinitis symptoms, whereas 61% had at least 1 positive prick skin test result. Forty-three percent showed typical physical signs of allergic rhinitis, 100% had a positive atopic family history, and 53% had other associated atopic disorders. Conclusions: Most children with ADHD displayed symptoms and skin prick test results consistent with allergic rhinitis. Nasal obstruction and other symptoms of allergic rhinitis could explain some of the cognitive patterns observed in ADHD, which might result from sleep disturbance known to occur with allergic rhinitis. Therefore, evaluation and treatment of allergic rhinitis could benefit patients with ADHD.

UR - http://www.scopus.com/inward/record.url?scp=3242754431&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3242754431&partnerID=8YFLogxK

U2 - 10.1016/S1081-1206(10)61434-2

DO - 10.1016/S1081-1206(10)61434-2

M3 - Article

VL - 92

SP - 663

EP - 667

JO - Annals of Allergy, Asthma and Immunology

JF - Annals of Allergy, Asthma and Immunology

SN - 1081-1206

IS - 6

ER -