Sleep disturbance significantly impairs daily living of children and young adults with allergic rhinitis (AR) in 80% of patients.1–3 Compared with asymptomatic individuals, patients with chronic nocturnal rhinitis symptoms were more likely to report impaired cognitive function and decreased work productivity and performance.4 The Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines suggest that any report of sleep disturbance indicates moderate or severe AR, which has significant implications on treatment recommendations.
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