Benefits and harm of systemic steroids for short- and long-term use in rhinitis and rhinosinusitis: an EAACI position paper.

Glucocorticosteroids Rhinitis Rhinosinusitis

Journal

Clinical and translational allergy
ISSN: 2045-7022
Titre abrégé: Clin Transl Allergy
Pays: England
ID NLM: 101576043

Informations de publication

Date de publication:
2020
Historique:
received: 30 11 2019
accepted: 02 12 2019
entrez: 8 1 2020
pubmed: 8 1 2020
medline: 8 1 2020
Statut: epublish

Résumé

Because of the inflammatory mechanisms of most chronic upper airway diseases such as rhinitis and chronic rhinosinusitis, systemic steroids have been used for their treatment for decades. However, it has been very well documented that-potentially severe-side-effects can occur with the accumulation of systemic steroid courses over the years. A consensus document summarizing the benefits of systemic steroids for each upper airway disease type, as well as highlighting the potential harms of this treatment is currently lacking. Therefore, a panel of international experts in the field of Rhinology reviewed the available literature with the aim of providing recommendations for the use of systemic steroids in treating upper airway disease.

Identifiants

pubmed: 31908763
doi: 10.1186/s13601-019-0303-6
pii: 303
pmc: PMC6941282
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsGS: Honoraria for articles, speaker and advisory boards: ALK, Astra Zeneca, Brittania Pharmaceuticals, Capnia, Church & Dwight, Circassia, Groupo Uriach, GSK, Meda/Mylan, Merck, MSD, Ono Pharmaceuticals, Oxford Therapeutics, Sanofi-Aventis, UCB. Travel funding: ALK, Bayer, GSK, Meda. Chair of BSACI Rhinitis guidelines, EAACI Ethics Committee, Rhinology & Laryngology Research Fund. Chair of Data Monitoring Board for Acarizax paediatric AR trial. CH: Reimbursed for Advisory Board work for sanofi, Smith and Nephew and speakers bureau for Medtronic. CB: Advisory board of Sanofi, GSK, Novartis, Astra-Zeneca, Mylan and reimbursed for presentations and travel. TVZ: Consultant for Medtronic and 3NT. STS: has acted as paid consultant for ERT and Roche Products. All these are outside the submitted work. All other authors declare that they have no competing interests.

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Auteurs

Valerie Hox (V)

1Cliniques Universitaires Saint-Luc Brussels, Av. Hippocrate 10, 1200 Brussels, Belgium.

Evelijn Lourijsen (E)

2Department of Otorhinolaryngology, Amsterdam University Medical Centres, AMC, Amsterdam, The Netherlands.

Arnout Jordens (A)

3Upper Airway Research Laboratory, Dep. of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.

Kristian Aasbjerg (K)

4Bispebjerg University Hospital, Copenhagen, Denmark.

Ioana Agache (I)

Faculty of Medicine, Transsylvania University, Brasov, Romania.

Isam Alobid (I)

6Hospital Clínic, IDIBAPS, CEBERES Universitat de Barcelona, Catalonia, Spain.
7Centro Medico Teknon, Barcelona, Spain.

Claus Bachert (C)

3Upper Airway Research Laboratory, Dep. of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.
8Department of Ear, Nose and Throat Diseases, Karolinska University Hospital, Stockholm, Sweden.

Koen Boussery (K)

9Pharmaceutical Care Unit, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium.

Paloma Campo (P)

10Allergy Unit, Hospital Regional Universitario of Málaga, IBIMA, ARADyAL, Malaga, Spain.

Wytske Fokkens (W)

2Department of Otorhinolaryngology, Amsterdam University Medical Centres, AMC, Amsterdam, The Netherlands.

Peter Hellings (P)

11Department of Ear, Nose and Throat Disease, University Hospitals, Louvain, Belgium.

Claire Hopkins (C)

12ENT Department, Guy's & St Thomas' Hospital, London, UK.

Ludger Klimek (L)

Center of Rhinology and Allergology, Wiesbaden, Germany.

Mika Mäkelä (M)

14Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Ralph Mösges (R)

15University of Cologne, Cologne, Germany.

Joaquim Mullol (J)

6Hospital Clínic, IDIBAPS, CEBERES Universitat de Barcelona, Catalonia, Spain.

Laura Pujols (L)

6Hospital Clínic, IDIBAPS, CEBERES Universitat de Barcelona, Catalonia, Spain.

Carmen Rondon (C)

10Allergy Unit, Hospital Regional Universitario of Málaga, IBIMA, ARADyAL, Malaga, Spain.

Michael Rudenko (M)

London Allergy and Immunology Center, London, UK.

Sanna Toppila-Salmi (S)

14Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Glenis Scadding (G)

17Royal National Throat, Nose and Ear Hospital, London, UK.

Sophie Scheire (S)

9Pharmaceutical Care Unit, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium.

Peter-Valentin Tomazic (PV)

18Medical University Graz, Graz, Austria.

Thibaut Van Zele (T)

3Upper Airway Research Laboratory, Dep. of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.

Martin Wagemann (M)

19Heinrich-Heine-University, Düsseldorf, Germany.

Job F M van Boven (JFM)

20Department of Clinical Pharmacy & Pharmacology, University Medical Center Groningen, Groningen Research Institute for Asthma and COPD (GRIAC), University of Groningen, Groningen, The Netherlands.

Philippe Gevaert (P)

3Upper Airway Research Laboratory, Dep. of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.

Classifications MeSH