Allergic Rhinitis
Mild to severe persistent nasal mucosal inflammation to specific allergic triggers
WHO?
• 1 in 5 patients
• School Age and Young Adulthood
Time Course:
• Intermittent/Seasonal
• Chronic/Recurrent
• Worse with Recurrent Exposures
Risk Factors:
• +Family Hx
• Pollen Season Birthday
• Smoke / Allergen Exposure
Associations:
• Asthma & Sinusitis
• Allergic Conjunctivitis
Clinical Features
• Sneezing, Stuffy nose, Clear Rhinorrhea, Cough
• Itchy nose, ears or palate
Physical Exam:
• Post-nasal drip -> Pharyngeal Cobblestoning
• Infraorbital darkening and edema
• Pale nasal mucosa with Inflamed Turbinates
Treatment:
• Mild/Episodic = PRNs
- Oral 2nd Gen Antihistamines
- Nasal Spray: Antihistamine or Steroid
• Severe/Persistent = Scheduled
- Steroid Nasal Spray
- Oral / Intranasal Antihistamine
By Dr. Brianna Valdes @NUIM_Chiefs
#Allergic #Rhinitis #diagnosis #management
