Nonsteroidal anti-inflammatory drugs-exacerbated respiratory disease in adolescents.
BACKGROUND
There has been no study investigating nonsteroidal anti-inflammatory drugs (NSAIDs)-exacerbated respiratory disease (NERD) exclusively in childhood. Therefore, in the current study, the authors aimed to evaluate the diagnostic features, clinical characteristics, and follow-up of adolescents diagnosed with NERD.


METHODS
The patients who were consecutively diagnosed with NERD between January 2011, and November 2013, included in the study. Oral provocation test (OPT) with at least 2 different NSAIDs was used to confirm NSAID hypersensitivity in patients with underlying asthma/chronic rhinosinusitis/nasal polyps. All patients were followed regularly in 3-month intervals by the Pediatric Allergy and Otorhinolaryngology Department for asthma, allergic rhinitis, or chronic rhinosinusitis with or without nasal polyps.


RESULTS
A total of 10 adolescents with NERD were included in the study. The mean age of the patients at the time of diagnosis was 14.9 ± 1.5 years. Hives or angioedema accompanied respiratory complaints induced by NSAIDs. The mean duration of follow-up was 28.9 ± 12.4 months. All patients had asthma except 1 with asymptomatic bronchial hyperreactivity. Asthma of patients was well-controlled with moderate dose of inhaled corticosteroids. Chronic rhinosinusitis with or without nasal polyps developed in 2 patients. Aspirin desensitization was required in these 2 patients with recurrent nasal polyps.


CONCLUSION
NERD in childhood has much more favorable clinical characteristics and course than in adulthood. Few adolescents with NERD refer with typical chronic upper respiratory tract complaints. The asthma component seems to be mild and is well controlled in the short-term follow-up.
['Ertoy Karagol|Hacer Ilbilge|HI|', 'Yilmaz|Ozlem|O|', 'Topal|Erdem|E|', 'Ceylan|Alper|A|', 'Bakirtas|Arzu|A|']
D000293:Adolescent D000894:Anti-Inflammatory Agents, Non-Steroidal D055963:Asthma, Aspirin-Induced D005260:Female D005500:Follow-Up Studies D006801:Humans D008297:Male D009298:Nasal Polyps D012189:Retrospective Studies D012220:Rhinitis D012852:Sinusitis
adolescents nonsteroidal anti-inflammatory drug NERD follow-up NSAIDs-exacerbated respiratory disease