Allergic rhinitis

From greek.doctor
  • Allergic rhinitis is a type I hypersensitivity
  • Types
    • Seasonal (hay fever)
      • Pollen
      • February – September
      • No symptoms the rest of the year
    • Perennial
      • Indoor allergens
      • House dust
      • Pets
      • Moulds
      • Latex
  • Clinical features
    • Nasal airway obstruction
    • Sneezing
    • Watery rhinorrhoea
    • Itchy nose and eyes
  • Diagnosis
    • History
    • Examination of nose
      • Bluish-purple mucosa in seasonal
      • Red mucosa in perennial
    • Allergy testing
      • Prick test
      • Radioallergosorbent test
  • Treatment
    • Avoid allergen
    • Medical
      • Intranasal or oral
      • Antihistamines
      • Decongestants (xylometazoline)
      • Local steroids
      • Sodium cromoglycate
      • Muscarinic antagonists (ipratropium)
      • Antileukotrienes
    • Immunotherapy – hyposensitization
    • Resection of turbinates‎