Georgitis J W
Piedmont Allergy and Asthma Associates, 1364 Westgate Center Drive, Winston-Salem, NC 27103, USA.
Curr Allergy Asthma Rep. 2001 May;1(3):202-6. doi: 10.1007/s11882-001-0006-6.
The prevalence and differential diagnosis of rhinitis changes as we progress from birth to senescence. The heavy burden of allergic rhinitis is often overlooked in infants and disregarded in childhood and adolescence. In women, especially during pregnancy, hormonal changes can significantly affect nasal mucosal hyperreactivity and worsen ongoing syndromes. Various types of inflammatory and noninflammatory nonallergic rhinitides become more prevalent in the fifth decade and beyond. The burgeoning elderly population with irritant, atrophic, and medication-related rhinitis will constitute a greater proportion of our practices as the general population ages.
从出生到衰老的过程中,鼻炎的患病率及鉴别诊断会发生变化。婴儿期过敏性鼻炎的沉重负担常常被忽视,在儿童期和青少年期也未得到重视。对于女性,尤其是在孕期,激素变化会显著影响鼻黏膜高反应性并使现有症状加重。各种类型的炎性和非炎性非过敏性鼻炎在50岁及以后更为常见。随着普通人群老龄化,患有刺激性、萎缩性和药物相关性鼻炎的老年人口不断增加,这将在我们的诊疗工作中占比更大。