Rhinitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Rhinitis has significant impacts on the quality of life and productivity of the affected individual. Allergic rhinitis, which is the most common type of chronic rhinitis, is frequently underdiagnosed, mistreated, or sometimes ignored.[1] Effective management of rhinitis improves the quality of life, and control of coexisting conditions such as asthma and conjunctivitis.[2][3] Accurately diagnosing rhinitis by taking a careful history and physical examination, is important in order to ensure a timely intervention.[4]
History and Symptoms
History and Symptoms of Allergic Rhinitis
The algorithm below depicts important symptoms and history that should be evaluated when assessing a patient with rhinitis.
Symptoms of Allergic Rhinitis
- Bilateral, watery rhinorrhea- Consider other diagnosis such as intranasal foreign bodies in children if unilateral, mucopurulent rhinorrhea is seen
- Nasal pruritus- This is usually absent in nonallergic rhinitis
- Nasal congestion which often results in mouth breathing
- Sneezing (usually paroxysmal)
Pattern of symptoms of Allergic Rhinitis- It is important to ascertain the duration of the symptoms, the frequency, and the timing of the symptoms in relation to the allergen exposure, e.g
- Duration of symptoms in allergic rhinitis is usually >1hr on most days
- Intermittent, seasonal or perennial symptoms
Precipitating factors
References
- ↑ Greiner AN, Hellings PW, Rotiroti G, Scadding GK (2011). "Allergic rhinitis". Lancet. 378 (9809): 2112–22. doi:10.1016/S0140-6736(11)60130-X. PMID 21783242.
- ↑ Shaker M, Salcone E (2016). "An update on ocular allergy". Curr Opin Allergy Clin Immunol. 16 (5): 505–10. doi:10.1097/ACI.0000000000000299. PMID 27490123.
- ↑ Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A; et al. (2008). "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)". Allergy. 63 Suppl 86: 8–160. doi:10.1111/j.1398-9995.2007.01620.x. PMID 18331513.
- ↑ Skoner DP (2001). "Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis". J Allergy Clin Immunol. 108 (1 Suppl): S2–8. PMID 11449200.