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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos</span> &#8211; Determinar a preval&#234;ncia da associa&#231;&#227;o de sintomas de rinoconjuntivite e asma em adolescentes&#44; analisar se os sintomas de asma s&#227;o mais intensos e frequentes entre os adolescentes com sintomas de rinoconjuntivite al&#233;rgica e avaliar se os adolescentes reconhecem os sintomas de rinoconjuntivite&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">M&#233;todos &#8211;</span> Realizou-se um estudo do tipo corte transversal com dois componentes&#58; um estudo de preval&#234;ncia e um estudo entre casos &#40;sintomas de rinoconjuntivite&#41;&#44; com um grupo de compara&#231;&#227;o &#40;aus&#234;ncia de sintomas de rinoconjuntivite&#41; a partir de informa&#231;&#245;es dos question&#225;rios aplicados na fase 3 do ISAAC&#44; no ano de 2002&#44; na cidade do Recife&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados &#8211;</span> A preval&#234;ncia da associa&#231;&#227;o de sintomas de rinoconjuntivite e de prov&#225;vel asma foi de 5&#44;1&#37; &#40;48&#47;940&#59; IC 95&#37;&#58; 3&#44;8 &#37;-6&#44;6&#37;&#41;&#44; apenas de asma de 10&#44;9&#37; &#40;103&#47;940&#59; IC 95&#37;&#58; 9&#44;1&#37;-13&#44;1&#37;&#41; e de rinoconjuntivite isolada foi de 9&#44;7&#37; &#40;91&#47;940&#59; IC 95&#37;&#58; 7&#44;9&#37;-13&#37;&#41;&#46; Entre os adolescentes com sintomas de rinite&#44; 81&#44;3&#37; &#40;39&#47;48&#41; tinham <span class="elsevierStyleItalic">prov&#225;vel asma persistente&#44;</span> 31&#44;8&#37; &#40;48&#47;151&#41; dos com sintomas de asma referiam tamb&#233;m sintomas de rinoconjuntivite&#46; N&#227;o reconheciam os sintomas de rinoconjuntivite 65&#44;1&#37; &#40;86&#47;132&#41; dos adolescentes que apresentavam esses sintomas&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#227;o</span> &#8211; A associa&#231;&#227;o de sintomas de rinoconjuntivite e asma &#233; frequente e est&#225; associada &#224; maior gravidade dos sintomas de asma&#46; O facto de os adolescentes n&#227;o reconhecerem os sintomas de rinoconjuntivite reflecte o subdiagn&#243;stico&#44; que pode resultar na desvaloriza&#231;&#227;o dos sintomas e&#44; consequentemente&#44; no tratamento inadequado&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 613-628</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim</span> &#8211; Our study aimed to determine the rate of association of rhinoconjunctivitis and asthma symptoms in adolescents to analyse whether asthma symptoms are more severe and frequent in asthmatics with concomitant allergic rhinitis and assess if adolescents are aware of having rhinoconjunctivitis&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Methods</span> &#8211; A cross-sectional study&#44; with two components&#58; a study in prevalence and an inter-case study &#40;rhinitis symptoms&#41; with a comparison group &#40;no rhinitis symptoms&#41;&#44; based on information from questionnaires applied in phase 3 of ISAAC in Recife in 2002&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results &#8211;</span> Associated rhinoconjunctivitis and probable asthma symptoms were observed in 5&#46;1&#37; of adolescents &#40;48&#47;940&#59; CI 95&#37;&#58; 3&#46;8 &#37;-6&#46;6&#37;&#41;&#44; probable asthma alone in 10&#46;9&#37; &#40;103&#47;940&#59; CI 95&#37;&#58; 9&#46;1&#37;-13&#46;1&#37;&#41; and rhinoconjunctivitis alone in 9&#46;7&#37; &#40;91&#47;940&#59; CI 95&#37;&#58; 7&#46;9&#37;-13&#37;&#41;&#46; Among the rhinitisbearing adolescents&#44; almost 81&#46;3&#37; &#40;39&#47;48&#41; had persistent probable asthma and 31&#46;8&#37; &#40;48&#47;151&#41; of asthmatic patients rhinoconjunctivitis&#46; 65&#46;1&#37; &#40;86&#47;132&#41; of adolescents with diagnosed rhinitis were unaware of rhinitis symptoms&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions</span> &#8211; The association of rhinoconjunctivitis and asthma symptoms is frequent and associated to more severe asthma symptoms&#46; Adolescents&#8217; unawareness of rhinitis symptoms reflects the underdiagnosis that can result in downplaying the symptoms&#44; and the consequent undertreatment&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 613-628</span></p></span>"
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Artigo Original/Original Article
Associação de sintomas de rinoconjuntivite e asma em adolescentes
The association of rhinoconjunctivitis and asthma symptoms in adolescents
Rita de Cássia C.M. Brito1,
Corresponding author
moraesdebrito@gmail.com

Correspondência/Correspondence to: Rita de Cássia Coelho Moraes de Brito. Rua Francisco Alves 325 sala 303 Edf Multimed Ilha Center Ilha do Leite Recife-PE.
, Gisélia A.P. da Silva2, Maria E.F.A. Motta3, Murilo C.A. Brito4
1 Mestra em Saúde da Criança e do Adolescente/MsC, Child and Adolescent Health
2 Professora Associada de Pediatria, Pesquisadora CNPQ/Associate Professor, Paediatrics
3 Professora Adjunta de Pediatria/Adjunct Professor, Paediatrics Universidade Federal de Pernambuco
4 Professor da Pós-Graduação em Saúde Materno Infantil do Instituto Materno Infantil Prof. Fernando Figueira/Post-Graduate Professor, Mother and Child Health, Instituto Materno Infantil Prof. Fernando Figueira
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos</span> &#8211; Determinar a preval&#234;ncia da associa&#231;&#227;o de sintomas de rinoconjuntivite e asma em adolescentes&#44; analisar se os sintomas de asma s&#227;o mais intensos e frequentes entre os adolescentes com sintomas de rinoconjuntivite al&#233;rgica e avaliar se os adolescentes reconhecem os sintomas de rinoconjuntivite&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">M&#233;todos &#8211;</span> Realizou-se um estudo do tipo corte transversal com dois componentes&#58; um estudo de preval&#234;ncia e um estudo entre casos &#40;sintomas de rinoconjuntivite&#41;&#44; com um grupo de compara&#231;&#227;o &#40;aus&#234;ncia de sintomas de rinoconjuntivite&#41; a partir de informa&#231;&#245;es dos question&#225;rios aplicados na fase 3 do ISAAC&#44; no ano de 2002&#44; na cidade do Recife&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados &#8211;</span> A preval&#234;ncia da associa&#231;&#227;o de sintomas de rinoconjuntivite e de prov&#225;vel asma foi de 5&#44;1&#37; &#40;48&#47;940&#59; IC 95&#37;&#58; 3&#44;8 &#37;-6&#44;6&#37;&#41;&#44; apenas de asma de 10&#44;9&#37; &#40;103&#47;940&#59; IC 95&#37;&#58; 9&#44;1&#37;-13&#44;1&#37;&#41; e de rinoconjuntivite isolada foi de 9&#44;7&#37; &#40;91&#47;940&#59; IC 95&#37;&#58; 7&#44;9&#37;-13&#37;&#41;&#46; Entre os adolescentes com sintomas de rinite&#44; 81&#44;3&#37; &#40;39&#47;48&#41; tinham <span class="elsevierStyleItalic">prov&#225;vel asma persistente&#44;</span> 31&#44;8&#37; &#40;48&#47;151&#41; dos com sintomas de asma referiam tamb&#233;m sintomas de rinoconjuntivite&#46; N&#227;o reconheciam os sintomas de rinoconjuntivite 65&#44;1&#37; &#40;86&#47;132&#41; dos adolescentes que apresentavam esses sintomas&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#227;o</span> &#8211; A associa&#231;&#227;o de sintomas de rinoconjuntivite e asma &#233; frequente e est&#225; associada &#224; maior gravidade dos sintomas de asma&#46; O facto de os adolescentes n&#227;o reconhecerem os sintomas de rinoconjuntivite reflecte o subdiagn&#243;stico&#44; que pode resultar na desvaloriza&#231;&#227;o dos sintomas e&#44; consequentemente&#44; no tratamento inadequado&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 613-628</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim</span> &#8211; Our study aimed to determine the rate of association of rhinoconjunctivitis and asthma symptoms in adolescents to analyse whether asthma symptoms are more severe and frequent in asthmatics with concomitant allergic rhinitis and assess if adolescents are aware of having rhinoconjunctivitis&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Methods</span> &#8211; A cross-sectional study&#44; with two components&#58; a study in prevalence and an inter-case study &#40;rhinitis symptoms&#41; with a comparison group &#40;no rhinitis symptoms&#41;&#44; based on information from questionnaires applied in phase 3 of ISAAC in Recife in 2002&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results &#8211;</span> Associated rhinoconjunctivitis and probable asthma symptoms were observed in 5&#46;1&#37; of adolescents &#40;48&#47;940&#59; CI 95&#37;&#58; 3&#46;8 &#37;-6&#46;6&#37;&#41;&#44; probable asthma alone in 10&#46;9&#37; &#40;103&#47;940&#59; CI 95&#37;&#58; 9&#46;1&#37;-13&#46;1&#37;&#41; and rhinoconjunctivitis alone in 9&#46;7&#37; &#40;91&#47;940&#59; CI 95&#37;&#58; 7&#46;9&#37;-13&#37;&#41;&#46; Among the rhinitisbearing adolescents&#44; almost 81&#46;3&#37; &#40;39&#47;48&#41; had persistent probable asthma and 31&#46;8&#37; &#40;48&#47;151&#41; of asthmatic patients rhinoconjunctivitis&#46; 65&#46;1&#37; &#40;86&#47;132&#41; of adolescents with diagnosed rhinitis were unaware of rhinitis symptoms&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions</span> &#8211; The association of rhinoconjunctivitis and asthma symptoms is frequent and associated to more severe asthma symptoms&#46; Adolescents&#8217; unawareness of rhinitis symptoms reflects the underdiagnosis that can result in downplaying the symptoms&#44; and the consequent undertreatment&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 613-628</span></p></span>"
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                        "titulo" => "Asthma and allergic rhinitis as symptoms of the same disease&#58; a paradigm under construction"
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                              0 => "F&#46;M&#46; Benedictis"
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                          "tituloSerie" => "Pediatric Respiratory Reviews"
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                        "titulo" => "Is rhinitis alone or associated with atopic eczema a risk factor for severe asthma in children&#63;"
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                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
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                              1 => "I&#46;C&#46; Camelo-Nunes"
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                      0 => array:1 [
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                          "titulo" => "Greater risk of incident asthma cases in adults with allergic rhinitis and effect of allergen immunotherapy&#58; A retrospective cohort study&#46; Respiratory Research &#91;peri&#243;dico na internet&#93;"
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                        "titulo" => "Effect of a concomitant diagnosis of allergic rhinitis on asthma-related health care use by adults"
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                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
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                              1 => "Q&#46; Zhang"
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                        "doi" => "10.1111/j.1365-2222.2005.02182.x"
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                        "titulo" => "ISAAC phase three study group&#46; Worldwide time trends in the prevalence of syntoms of asthma&#44; allergic rhinoconjuntivitis&#44; and eczema in childhood&#58; ISAAC phases one and three repeat multicountry cross-sectional surveys"
                        "autores" => array:1 [
                          0 => array:2 [
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                        "doi" => "10.1016/S0140-6736(06)69283-0"
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                          "tituloSerie" => "Lancet"
                          "fecha" => "2006"
                          "volumen" => "368"
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                        "titulo" => "Worldwide variations in the prevalence of symptoms of allergic rhinoconjunctivitis in children&#58; the International Study of Asthma and Allergies in Childhood &#40;ISAAC&#41;"
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                          0 => array:2 [
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                              8 => "B&#46; Bj&#246;rkst&#233;n"
                              9 => "M&#46; Burr"
                              10 => "T&#46; Clayton"
                              11 => "J&#46; Crane"
                              12 => "P&#46; Elwood"
                              13 => "U&#46; Keil"
                              14 => "Lai"
                              15 => "J&#46; Mallol"
                              16 => "F&#46; Martinez"
                              17 => "E&#46; Mitchell"
                              18 => "S&#46; Montefort"
                              19 => "N&#46; Pearce"
                              20 => "C&#46; Robertson"
                              21 => "J&#46; Shah"
                              22 => "A&#46; Stewart"
                              23 => "E&#46; von Mutius"
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                          "tituloSerie" => "Pediatr Allergy Immunol"
                          "fecha" => "1997"
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                          0 => array:2 [
                            "etal" => false
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                              2 => "C&#46; Neukirch"
                              3 => "R&#46; Liard"
                              4 => "F&#46; Neukirch"
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                      0 => array:2 [
                        "titulo" => "Rhinitis as an independent risk factor for adult-onset asthma"
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                          0 => array:2 [
                            "etal" => false
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                              0 => "S&#46; Guerra"
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                              2 => "F&#46;D&#46; Martinez"
                              3 => "R&#46;A&#46; Barbee"
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                          "tituloSerie" => "J Allergy Clin Immunol"
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ISSN: 08732159
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Pulmonology

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