Virtual Conference
Pediatrics 2022

Mirjana Popovska

Institute for Respiratory diseases in children-Kozle, Republic of N.Macedonia

Title: Allergic Rhinitis- clinical presentation and skin reactions during covid 19 pandemic in Skopje


Introduction: Allergic rhinitis is an inflammation of the nasal mucous membrane resulting from a hypersensitive reaction of the immune system to inhalant allergens in the air. Typical symptoms include nasal congestion, itching, sneezing, rhinorrhea, and conjunctive irritation, sneezing, and cough. The diagnosis is based on clinical findings and symptoms as well as epicutaneous skin test and serum immunoassays for Ig E. 
Objective: To analyse the most common inhaled allergens and their distribution in children with symptoms of allergic rhinitis in N. Macedonia, during the Sars covid 19 pandemic. There was a high prevalence of Allergic rhinitis disease in children in N. Macedonia during the pandemic. 
Materials: The study is a retrospective cohort study done from 01.01.2022 to 26.04.2022 .The study included 440 children from 2 to 18years of age with clinical finding for allergic rhinitis. 
Methods: Epicutaneous skin test with 10 standard allergens. The recommended method of prick testing includes the appropriate use of specific allergen extract, positive, and negative controls, interpretation of the test after 15-20minutes of application, with positive result defined as a wheal ?3 mm diameter. 
Results: Form 440 children, 252 are with positive results in skin prick tests (the percentile of positive tests is 57.27%). From the 10 analysed allergens dermato phagoides was first with 139 positive children, 55.2% of the positive test or 31.6% of all 440 tested children. Second in line were 92 children positive to grass pollen 36.5% of the positive or 21% of all the tested children. 
Conclusion: Every second child of the tested was positive for allergy. Diagnosis is important in early prevention and treatment.