NDLI: Allergic Rhinitis

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Allergic Rhinitis

Content Provider	Scilit
Author	Feteih, Abeer Pham, Hoang Fein, Michael Genest, Geneviève Carpio, Jaime Del
Copyright Year	2021
Description	Allergic rhinitis is a common IgE-mediated inflammatory disease of the nose and paranasal sinuses. Rhinitis is often undertreated and this negatively impacts the quality of life. Rhinitis is classified as intermittent, persistent, mild, and moderate-severe. Clinical manifestations include nasal congestion, rhinorrhea, postnasal drip, nasal pruritus, sneezing, and itchy/watery eyes. A thorough history is important focusing on symptom onset, severity, environmental exposures, treatments used, and response to treatments. Physical examination should focus on signs of atopy including allergic shiners, Dennie-Morgan lines, allergic salute, allergic facies, nasal mucosal changes, nasal polyps, wheezing, and signs of atopic dermatitis. Differential diagnosis of rhinitis includes nasal anatomical abnormalities including deviated nasal septum, adenoid hypertrophy, foreign bodies, nasal tumors, cleft palate, and cerebrospinal fluid leak. Investigations include skin prick testing to relevant aeroallergens and specific IgE immunoassays. Management focuses on allergen avoidance measures, pharmacotherapy, and allergen immunotherapy. Pharmacotherapy includes oral and intranasal H1 antihistamines, intranasal glucocorticoids, antileukotrienes, intranasal antimuscarinics, and intranasal mast cell stabilizers. Rhinitis is a common complication during pregnancy and requires special attention. Book Name: The Manual of Allergy and Clinical Immunology
Related Links	https://api.taylorfrancis.com/content/chapters/edit/download?identifierName=doi&identifierValue=10.1201/9781003174202-2&type=chapterpdf
DOI	10.1201/9781003174202-2
Language	English
Publisher	Informa UK Limited
Publisher Date	2021-11-12
Access Restriction	Open
Subject Keyword	Book Name: The Manual of Allergy and Clinical Immunology Quality of Life Rhinitis Treatments Intranasal Allergen Pharmacotherapy Differential
Content Type	Text
Resource Type	Chapter

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