Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*
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The absence of an IgE-mediated immune response differentiates vasomotor from allergic forms of rhinitis.
“The absence of an IgE-mediated immune response differentiates vasomotor from allergic forms of rhinitis.101”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
The Introduction (§2.1; page unavailable) associates allergic rhinitis with an IgE-mediated response. The paper places idiopathic rhinitis, sometimes called “vasomotor rhinitis,” among nonallergic conditions, but does not explicitly establish absence of IgE as its distinguishing criterion. It also cautions that vasomotor symptoms can occur in both allergic and nonallergic rhinitis. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSome patients have negative SPT or serum specific IgE despite a clinical history suggestive of allergic rhinitis and meeting ARIA clinical criteria.
“However, some patients have negative SPT or serum sIgE despite a clinical history suggestive of AR and meeting ARIA clinical criteria.101,300”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
Section 6.3.3 states that absence of serum-specific IgE does not preclude symptoms, and section 6.3.7 discusses patients with negative skin tests and serum-specific IgE. The ‘Diagnosis of allergic rhinitis’ section describes typical symptoms, but also says diagnosis depends on concordance between the history and diagnostic tests; it does not establish that patients with negative tests meet ARIA diagnostic criteria. Page numbers are unavailable in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredMost patients with asthma, both allergic and non-allergic, also have rhinitis, whereas 10% to 40% of patients with AR have comorbid asthma.
“Most patients with asthma (both allergic and non-allergic) also have rhinitis, whereas 10% to 40% of patients with AR have comorbid asthma.101,1167”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
Section 9.1.2 says the majority of patients with asthma experience rhinitis symptoms. Section 9.1.1 gives the 10%–40% asthma prevalence for patients with rhinitis generally, not specifically for patients with allergic rhinitis (AR), so the narrower population in the claim is not fully supported. The supplied copy gives no page numbers for these passages. (LLM, conf=0.84)
Experimental — accuracy not yet measuredLTRAs are the only class of medications specifically described in the 2008 AR management guide and full ARIA report as effective for both asthma and AR.
“In fact, the LTRAs are the only class of medications specifically described in the 2008 AR management guide for primary care physicians, and in the full ARIA report, as effective for both asthma and AR.101,1814”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
Table 24 in section 7.8.2 describes antileukotrienes as “Effective on asthma and rhinitis,” and the Pharmacodynamics section reports that montelukast improved nasal and bronchial symptoms. Our copy does not establish that LTRAs are the only medication class so described, or verify what the separate primary-care management guide says. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIntranasal corticosteroids have a potent anti-inflammatory effect and have proven effective in treating NO in both rhinitis and rhinosinusitis.
“Intranasal corticosteroids (INCs) (beclomethasone, budesonide, ciclesonide, fluticasone propionate, fluticasone furoate, mometasone, triamcinolone) have a potent antiinflammatory effect and have proven to be effective in treating NO in both rhinitis and rhinosinusitis, as shown in several international consensus statements [127-131].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [129]
Section 7.2.4 (page unavailable) describes intranasal glucocorticosteroids as highly effective for rhinitis and recommends them as first-line treatment when nasal congestion is present. Its table describes potent pharmacologic action, but the passages found do not establish effectiveness for nasal obstruction in rhinosinusitis. (LLM, conf=0.87)
Experimental — accuracy not yet measured
The effect of intranasal chromones on NO in allergic rhinitis is marginal and inferior to that of intranasal corticosteroids.
“Their effect on NO in AR is marginal and inferior to that of INCs [129].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [129]
Section 7.2.7 describes intranasal cromones as modestly effective for nasal symptoms, and section 7.2.4 says intranasal glucocorticosteroids are more effective than other treatments when nasal congestion is present. The copy does not specifically establish that cromones have a marginal effect on nasal obstruction (NO), although it supports the broader comparison of treatments. (LLM, conf=0.79)
Experimental — accuracy not yet measuredOutdoor or indoor air pollution remains debated as a risk factor for AR or NAR.
“Outdoor or indoor air pollution is still a matter of debate as risk factor for AR or NAR.101”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
Single allergen avoidance or elimination plans such as removing or washing pets, mattress coverings, removing carpeting, and HEPA filters have shown limited evidence-based clinical benefit for reducing asthma and/or AR symptoms.
“Single allergen avoidance or elimination plans such as removing or washing pets, mattress coverings, removing carpeting, and use of HEPA filters have shown limited evidence-based clinical benefit for reducing asthma and/or AR symptoms.101,1799,1800”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
In 2008, the ARIA group found that montelukast improved both nasal and bronchial symptoms and reduced beta-agonist use in patients with asthma and AR.
“In 2008, the ARIA group reviewed the evidence for effectiveness of montelukast in treating patients with asthma and AR, finding improvement of both nasal and bronchial symptoms as well as reduction of β-agonist use.101”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
Intranasal corticosteroids are the most effective medication for treating allergic rhinitis and have proven more effective than other medications.
“However, INCs are the most effective medication for treating AR [129,134] and have proven to be more effective than other medications.”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [129]
Pharmacologic treatment of allergic occupational rhinitis does not differ from treatment of non-occupational rhinitis.
“Pharmacologic treatment does not differ from that of non-occupational rhinitis.101”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [101]
Section 2.3.2 describes occupational rhinitis, and the Pharmacotherapy section discusses treatment of allergic rhinitis generally. Neither passage compares pharmacologic treatment for occupational and non-occupational rhinitis; searches for that comparison found no such statement in the available copy. (LLM, conf=0.68)
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Self-citation
- Authors
- Bousquet, J., Khaltaev, N., Cruz, A. A., Denburg, J., Fokkens, W. J., Togias, A., Zuberbier, T., Baena‐Cagnani, C. E., Canonica, G. W., Van Weel, C., Agache, I., Aït‐Khaled, N., Bachert, C., Blaiss, M. S., Bonini, S., Boulet, L. ‐., Bousquet, P. ‐., Camargos, P., Carlsen, K. ‐., Chen, Y., Custovic, A., Dahl, R., Demoly, P., Douagui, H., Durham, S. R., Van Wijk, R. G., Kalayci, O., Kaliner, M. A., Kim, Y. ‐., Kowalski, M. L., Kuna, P., Le, L. T. T., Lemiere, C., Li, J., Lockey, R. F., Mavale‐Manuel, S., Meltzer, E. O., Mohammad, Y., Mullol, J., Naclerio, R., O’Hehir, R. E., Ohta, K., Ouedraogo, S., Palkonen, S., Papadopoulos, N., Passalacqua, G., Pawankar, R., Popov, T. A., Rabe, K. F., Rosado‐Pinto, J., Scadding, G. K., Simons, F. E. R., Toskala, E., Valovirta, E., Van Cauwenberge, P., Wang, D. ‐., Wickman, M., Yawn, B. P., Yorgancioglu, A., Yusuf, O. M., Zar, H., Annesi‐Maesano, I., Bateman, E. D., Kheder, A. B., Boakye, D. A., Bouchard, J., Burney, P., Busse, W. W., Chan‐Yeung, M., Chavannes, N. H., Chuchalin, A., Dolen, W. K., Emuzyte, R., Grouse, L., Humbert, M., Jackson, C., Johnston, S. L., Keith, P. K., Kemp, J. P., Klossek, J. ‐., Larenas‐Linnemann, D., Lipworth, B., Malo, J. ‐., Marshall, G. D., Naspitz, C., Nekam, K., Niggemann, B., Nizankowska‐Mogilnicka, E., Okamoto, Y., Orru, M. P., Potter, P., Price, D., Stoloff, S. W., Vandenplas, O., Viegi, G., & Williams, D.
- Affiliations
- Inserm (FR)
- McMaster University (CA)
- Amsterdam UMC Location University of Amsterdam (NL)
- National Institute of Allergy and Infectious Diseases (US)
- Charité – Universitätsmedizin Berlin (DE)
- Universidad Católica de Córdoba (AR)
- World Health Organization (CH)
- Transilvania University of Brașov (RO)
- Ghent University Hospital (BE)
- University of Tennessee Health Science Center (US)
- Institut universitaire de cardiologie et de pneumologie de Québec (CA)
- Universidade Federal de Minas Gerais (BR)
- University of Oslo (NO)
- Capital Institute of Pediatrics (CN)
- Aarhus University Hospital (DK)
- Imperial College London (GB)
- Hacettepe University (TR)
- Institute for Asthma and Allergy (US)
- Seoul National University Hospital (KR)
- Medical University of Lodz (PL)
- University of Medicine and Pharmacy at Ho Chi Minh City (VN)
- First Affiliated Hospital of Guangzhou Medical University (CN)
- University of South Florida (US)
- University of California San Diego (US)
- Latakia University (SY)
- Hospital Clínic de Barcelona (ES)
- University of Chicago (US)
- The Alfred Hospital (AU)
- Teikyo University (JP)
- European Federation of Allergy and Airways Diseases Patients Associations (BE)
- National University of Singapore (SG)
- University of Genoa (IT)
- Nippon Medical School (JP)
- Medical University of Sofia (BG)
- Leiden University Medical Center (NL)
- Hospital de Dona Estefânia (PT)
- University College London (GB)
- University of Manitoba (CA)
- Hôpital Arnaud de Villeneuve (FR)
- University of Minnesota Rochester (US)
- University of Cape Town (ZA)
- Tunis University (TN)
- University of Ghana (GH)
- University of Wisconsin–Madison (US)
- University of British Columbia (CA)
- Augusta University (US)
- Vilnius University (LT)
- Université Paris-Sud (FR)
- University of Dundee (GB)
- Université de Poitiers (FR)
- University of Mississippi (US)
- Chiba University (JP)
- University of Aberdeen (GB)
- University of Nevada, Reno (US)
- UCLouvain (BE)
- Istituto di Fisiologia Clinica (IT)
- University of North Carolina at Chapel Hill (US)
- ORCID
- Bousquet, J.
- Fokkens, W. J.
- Togias, A.
- Zuberbier, T.
- Canonica, G. W.
- Agache, I.
- Bachert, C.
- Blaiss, M. S.
- Bonini, S.
- Boulet, L.‐P.
- Bousquet, P.‐J.
- Camargos, P.
- Demoly, P.
- Durham, S. R.
- Kuna, P.
- Li, J.
- Lockey, R. F.
- Mohammad, Y.
- Mullol, J.
- Naclerio, R.
- O’Hehir, R. E.
- Ohta, K.
- Ouedraogo, S.
- Papadopoulos, N.
- Passalacqua, G.
- Popov, T. A.
- Rabe, K. F.
- Scadding, G. K.
- Simons, F. E. R.
- Wang, D.‐Y.
- Wickman, M.
- Yawn, B. P.
- Yusuf, O. M.
- Zar, H.
- Annesi‐Maesano, I.
- Boakye, D. A.
- Burney, P.
- Busse, W. W.
- Chan‐Yeung, M.
- Chavannes, N. H.
- Emuzyte, R.
- Humbert, M.
- Johnston, S. L.
- Keith, P. K.
- Kemp, J. P.
- Larenas‐Linnemann, D.
- Lipworth, B.
- Malo, J.‐L.
- Marshall, G. D.
- Niggemann, B.
- Okamoto, Y.
- Price, D.
- Vandenplas, O.
- Viegi, G.
- Williams, D.
- Venue
- Allergy
- Publisher
- Wiley
- Published
- 2008-03-07
- Volume
- 63
- Issue
- s86
- Pages
- 8-160
- ISSN
- 0105-4538 (ISSN-L)
- 1398-9995
- OpenAlex
- W2164132449
- Cited by
- 4,729
- References
- 2,267
- Citations by year
- 2026: 135 · 2025: 172 · 2024: 211 · 2023: 230 · 2022: 242 · 2021: 287 · 2020: 292 · 2019: 279 · 2018: 278 · 2017: 301 · 2016: 307 · 2015: 302 · 2014: 293 · 2013: 300 · 2012: 274
- FWCI
- 171.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Allergy (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- HAL (submittedVersion)
- Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) (submittedVersion)
- Digital Access to Libraries (submittedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Industry Canada
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
- Keywords
- allergic rhinitis, asthma, allergic rhinitis and asthma, ARIA guidelines, quality of life, health-related quality of life, SF-36
- MeSH terms
- Adolescent, Asthma, Child, Rhinitis, Allergic, Seasonal, Humans, Rhinitis, Allergic, Perennial, Risk Factors, Global Health, World Health Organization, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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