Pediatric allergic rhinitis: physical and mental complications.

Allergic rhinitis (AR) affects up to 40% of children in the United States and its prevalence continues to increase. Most AR develops during the pediatric years and it is the most common chronic allergic disorder seen in children. It is important to note that AR is more than just sneezing and a nuisance for the children. There are numerous complications that can lead to significant problems both physically and mentally in the child who suffers with AR. Under physical complications, otitis media with effusion, recurrent and/or chronic sinusitis, asthma, and snoring impact children with AR. Sleep disturbances, poor school performance, and hyperactivity are all mental complications seen in many children related to their nasal allergies. It is important for the clinician to take AR in the child seriously to prevent or control complications that can have a detrimental effect on the child.