Allergic Rhinitis May Lead to Lower School Grades

Close functional link between mast cells and neurones might explain CNS symptoms during the allergy season

The study was a case-control analysis of 1800 teenage students sitting for national examinations in the UK. On average, 40% of students reported symptoms of SAR. Seasonal allergic rhinitis (SAR) is associated with a detrimental effect on examination performance in United Kingdom teenagers: Case-control study. J Allergy Clin Immunol. 2007 Jun 7.

Symptomatic SAR and use of rhinitis medication were associated with a significantly increased risk of unexpectedly dropping a grade in the examinations.

According to the study authors, this is the first time a relationship between SAR and poor examination performance has been demonstrated.

Mind map for seasonal allergic rhinitis (SAR) from Allergy Cases.

Mnemonic for symptoms of SAR: CS DIES

Smell impairment

Discharge - watery nasal discharge
Eye symptoms

Mnemonic for stepwise approach to treatment of allergic rhinitis: OASIS

Omit (avoid) allergens
Antihistamines (oral and topical)
Steroids (topical)
SCIT, SLIT, Surgery


Too many young students still letting hay fever ruin their exams. Abbie Wightwick, Western Mail, 06/2007.
Poor air quality in classrooms related to asthma and rhinitis. Thorax, 2012.
Treatment of Allergic Rhinitis Is Associated with Improved Attention Performance in Children
Image source: Wikipedia, public domain.

Treatment Options for Allergic Rhinitis (click to enlarge the image).

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