Why otolaryngologists and asthma are a good match: the allergic rhinitis-asthma connection

Otolaryngol Clin North Am. 2014 Feb;47(1):1-12. doi: 10.1016/j.otc.2013.08.016.


Consideration of the unified airway model when managing patients with rhinitis and or asthma allows a more comprehensive care plan and therefore improved patient outcomes. Asthma is linked to rhinitis both epidemiologically and biologically, and this association is even stronger in individuals with atopy. Rhinitis is not only associated with but is a risk factor for the development of asthma. Management of rhinitis improves asthma control. Early and aggressive treatment of allergic rhinitis may prevent the development of asthma. In patients with allergic rhinitis that is not sufficiently controlled by allergy medication, allergen-directed immunotherapy should be considered.

Keywords: Allergy; Asthma; Immunology; Rhinitis.

Publication types

  • Review

MeSH terms

  • Asthma / diagnosis
  • Asthma / epidemiology*
  • Asthma / immunology
  • Asthma / therapy*
  • Bronchial Hyperreactivity / diagnosis
  • Bronchial Hyperreactivity / epidemiology
  • Bronchial Hyperreactivity / therapy
  • Comorbidity
  • Female
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Incidence
  • Male
  • Otolaryngology / methods
  • Prognosis
  • Respiratory Mechanics / immunology
  • Rhinitis, Allergic
  • Rhinitis, Allergic, Perennial / diagnosis
  • Rhinitis, Allergic, Perennial / epidemiology*
  • Rhinitis, Allergic, Perennial / immunology
  • Rhinitis, Allergic, Perennial / therapy*
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome


  • Immunosuppressive Agents