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Tackling nasal symptoms in athletes: moving towards personalized medicine
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  • Valerie Hox,
  • Simon Beyaert,
  • Dominique Bullens,
  • Mariana Couto,
  • Daniel Langer,
  • Peter Helllings,
  • Caroline Huart,
  • Philippe Rombaux,
  • Sven Seys,
  • Pavol Surda,
  • Abigail Walker,
  • Brecht Steelant
Valerie Hox
Cliniques universitaires Saint-Luc
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Simon Beyaert
Cliniques universitaires Saint-Luc
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Dominique Bullens
KU Leuven
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Mariana Couto
Hospital & Instituto CUF Porto
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Daniel Langer
KU Leuven
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Peter Helllings
University Hospitals Leuven
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Caroline Huart
Cliniques universitaires Saint-Luc
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Philippe Rombaux
Cliniques universitaires Saint-Luc
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Sven Seys
KU Leuven
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Pavol Surda
Guy's and St Thomas' University Hospital
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Abigail Walker
St-George Hospital, London, UK
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Brecht Steelant
KU Leuven
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Abstract

Adequate nasal breathing is indispensable for athletes and nasal symptoms have been shown to inter-fere with their subjective feeling of comfortable breathing and quality of life. Nasal symptoms are caused by either structural abnormalities or mucosal pathology. Structural pathologies are managed differently from mucosal disease and therefore adequate diagnosis is of utmost importance in athletes in order to choose the correct treatment option for the individual. Literature suggests that nasal symp-toms are more prevalent in athletes compared to the general population and certain sport environments might even trigger the development of symptoms. Given the high demands of respiratory function in athletes, insight into triggering factors is of high importance for disease prevention. Also, it has been suggested that athletes are more neglectful to their symptoms and hence remain undertreated, meaning that special attention should be paid to education of athletes and their caregivers. This review aims at giving an overview of nasal physiology in exercise as well as the possible types of nasal pathology. Additionally, diagnostic and treatment options are discussed and we focus on un-met needs for the management and prevention of these symptoms in athletes within the concept of precision medicine.

Peer review status:Published

02 Oct 2020Submitted to Allergy
02 Oct 2020Submission Checks Completed
02 Oct 2020Assigned to Editor
06 Oct 2020Reviewer(s) Assigned
19 Oct 2020Review(s) Completed, Editorial Evaluation Pending
25 Oct 2020Editorial Decision: Revise Minor
01 Feb 20211st Revision Received
05 Feb 2021Submission Checks Completed
05 Feb 2021Assigned to Editor
06 Feb 2021Reviewer(s) Assigned
14 Feb 2021Review(s) Completed, Editorial Evaluation Pending
15 Feb 2021Editorial Decision: Accept
19 Feb 2021Published in Allergy. 10.1111/all.14786