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BACKGROUND:

Few time-series studies, and none lasting longer than 4 years, have investigated the aetiology of treated seasonal allergic rhinoconjunctivitis (SAR) on the basis of anti-allergic medication prescriptions. The aim of the present paper was to study the short-term relationship between pollen exposure and drug-treated SAR over 10 years in an urban area in central France.

METHODS:

A SAR case was defined as the association of an oral antihistamine and a local antiallergic drug on the same prescription. The relationship between daily changes in pollen concentrations and daily changes in the number of treated SAR cases was analyzed using generalized additive models, taking into account confounding factors such as air pollution, weather and days of the week.

RESULTS:

Between 2003 and 2012, the total yearly number of treated SAR cases rose from 7,265 to 11,315. The relative risk of treated SAR associated with an interquartile increase in pollen concentration increased significantly for Fraxinus, Betula, Carpinus, Platanus, Poaceae and Urticaceae for the whole pollen season, and for Urticaceae in the first semester.

CONCLUSIONS:

The prevalence of treated SAR cases rose by about 55% in 10 years. The study confirmed the highly allergenic role of Fraxinus, Betula and Poaceae pollens but also showed a relatively unknown association between treated SAR and Carpinus and Platanus pollens, despite theirpollen counts being less than 1% of overall pollen concentration. It also showed robust correlations with Urticaceae pollens, especially during the first semester, suggesting a potential allergenic role of Parietaria pollination in this non-Mediterranean area.

Allergy. 2014 Sep 10. doi: 10.1111/all.12522. [Epub ahead of print]