Effects of poor sleep in allergic rhinitis
| Autor: | Michael L. Davies, Timothy J. Craig, L.H. Fisher, Gisoo Ghaffari |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Sleep Wake Disorders
medicine.medical_specialty Histamine H1 Antagonists Non-Sedating Rhinitis Allergic Perennial Immunology Population Daytime somnolence Quality of life Adrenal Cortex Hormones medicine Immunology and Allergy Humans In patient Intensive care medicine education Child Administration Intranasal education.field_of_study Safety studies business.industry Chronic fatigue Poor sleep Quality of Life Immune Mediators business |
| Zdroj: | Current opinion in allergy and clinical immunology. 5(1) |
| ISSN: | 1528-4050 |
| Popis: | Purpose of review Allergic rhinitis affects a large portion of the population. These patients often suffer from daytime fatigue, both as a result of the mechanics of the nasal airway in patients with allergic rhinitis as well as through central effects on sleep by immune mediators. By understanding these mechanisms and by becoming familiar with effective treatments for allergic rhinitis that are beneficial in alleviating rather than worsening daytime somnolence, physicians may improve patient quality of life. Recent findings Children with rhinitis and snoring have poorer school performance compared with controls. The role of rhinitis in chronic fatigue remains controversial despite an increase in literature on this subject. The role of immune mediators on rhinitis and sleep is evolving as well. Nasal steroids effectively treat rhinitis and improve daytime fatigue. Second-generation antihistamines are preferred to first-generation antihistamines based on efficacy and safety studies. Summary Understanding the relationship between rhinitis in sleep abnormalities and subsequent daytime fatigue is still developing. Nasal steroids are the mainstay of treatment, but the role of future agents is promising although undefined. |
| Databáze: | OpenAIRE |
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