The Danyoung classification characterizes progressive endoscopic changes in the nasal mucosa of allergic rhinitis (AR) patients, but its clinical correlation with disease severity and chronicity remains unestablished. This cross-sectional study aimed to determine the association between Danyoung stages (1: hypertrophic, 2: dimple, 3: wrinkled) and AR symptomatology. Fifty AR patients from a tertiary allergy-immunology clinic were enrolled over a six-month period. Data on symptom duration, profile, and ARIA-based severity (intermittent/persistent, mild/moderate-severe) were collected. Nasoendoscopic examination was performed for Danyoung staging. Statistical analysis using chi-square tests demonstrated no significant association between Danyoung stage and symptom duration (p=0.85) or clinical disease severity (p=0.96). The findings indicate that the Danyoung classification, as an objective morphological descriptor, is not a statistically significant predictor of symptom-based AR severity or chronicity in this patient cohort. This suggests that the progression of endoscopic nasal mucosal changes may follow a pathway independent of the clinical parameters defined by ARIA guidelines, limiting its utility as a standalone clinical prognostic tool.
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