oai:pubmedcentral.nih.gov:8984...
OceanSide Publications, Inc.
Allergy and Asthma Proceedings
2022
10/10/2023
BACKGROUND: The clinical effects of intranasal corticosteroids (INC) on nasal symptoms and the clinical course of coronavirus disease 2019 (COVID-19) in subjects with chronic rhinitis (CR) seem unclear.
OBJECTIVE: To evaluate the clinical effects of INCs on nasal symptoms in subjects with CR and with COVID-19.
METHODS: In subjects with CR and diagnosed with COVID-19 at four tertiary centers, quality of life and nasal symptoms were assessed by using the 22-item Sino-Nasal Outcome Test (SNOT-22) and the visual analog scale (VAS), respectively.
In subjects with allergic rhinitis, nasal symptoms were also assessed on the total symptom score-6 (TSS-6) scale.
The subjects were then allocated into two groups according to whether or not they used INCs while infected with the severe acute respiratory syndrome coronavirus 2 (group 1 and group 2, respectively).
The subjects in group 2 were divided into two subgroups according to the use of antihistamines and/or leukotriene receptor antagonist or not (group 2a and group 2b, respectively).
All the scores were compared before and during COVID-19 among the three groups.
RESULTS: A total of 71 subjects (21 in group 1, 24 in group 2a, and 26 in group 2b) were enrolled.
The total scores of the SNOT-22 increased remarkably in all the groups during the infection when compared with the pre–COVID-19 scores (p < 0.001 in each group).
However, the difference between the pre–COVID-19 and COVID-19 values revealed a lower decrease in the senses of smell and/or taste in group 1 than in group 2a and group 2b (p = 0.015, adjusted p = 0.045; and p = 0.001, adjusted p = 0.002, respectively).
There were no significant differences in other COVID-19 findings, VAS, and TSS-6 scores among the groups (all p > 0.05).
CONCLUSION: INCs in subjects with CR seemed protective against the decrease in smell and/or taste observed during COVID-19 and do not aggravate the clinical course of COVID-19.
Tuzer, Can,Karadag, Pelin,Yegit, Ozan,Eyice, Deniz,Oztop, Nida,Can, Ali,Demir, Semra,Coskun, Raif,Erdogdu Unal, Derya,Olgac, Muge,Buyukozturk, Suna,Colakoglu, Bahattin,Gelincik, Aslı, 2022, Clinical effects of intranasal corticosteroids on nasal symptoms in subjects with chronic rhinitis during COVID-19, OceanSide Publications, Inc.