Abstract

TORIBIO-PAJARO, Enrique Carmen; GARCIA-ASENSI, Alfonso  and  RODRIGUEZ-SANTOS, Olimpio. Allergic rhinitis, obstructive sleep apnea-hypopnea and mite sensitization. Vaccimonitor [online]. 2022, vol.31, n.3, pp. 120-126.  Epub Dec 01, 2022. ISSN 1025-0298.

The association of allergic rhinitis and obstructive sleep apnea-hypopnea syndrome occurs at different ages. In allergic rhinitis and obstructive sleep apnea-hypopnea syndrome, sensitization to mites may be involved, mainly: Dermatophagoides pteronyssinus, Dermatophagoides siboney and Blomia tropicalis. With the objective to diagnose obstructive sleep apnea-hypopnea syndrome, 120 individuals were selected from the allergy registry of the Previsora Polyclinic, Camagüey, Cuba, with a presumptive diagnosis of allergic rhinitis and ages between 5 and 15 years old. All had the skin prick test with Dermatophagoides pteronyssinus, Dermatophagoides siboney and Blomia tropicalis; some also, cardio-respiratory polygraphy with the ApneaLink AirTM device (Resmed Corp., RFA), using automatic event marking. The sample consisted of 40 cases (oral breathing, snoring) and 80 controls (no oral breathing or snoring). The mean size of the wheal was 7.9 mm in the cases and 4.1 mm in the controls (p꞊0.030). The apnea and hypopnea index was positive in 47 (39.1%) patients, of which 36 (30%) were cases and 11 (9.1%) were controls (p=0.001). The sensitivity and specificity of the cardiorespiratory polygraphy showed values of 85.00% and 91.25%, respectively, which allow affirming the degree of efficacy of the test to diagnose obstructive sleep apnea-hypopnea. Patients with obstructive sleep apnea-hypopnea syndrome in cases and controls presented an increase, with a predominance for cases. Cardiorespiratory polygraphy with the ApneaLink device allows the diagnosis of obstructive sleep apnea-hypopnea syndrome in allergic rhinitis.

Keywords : allergic rhinitis; sleep apnea syndromes; mites; sensitivity and specificity.

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