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