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Rhinitis, Allergic

Madhavi Singh, MD and Daniel Abelev, M.D. Reviewed 06/2022
 


BASICS

Allergic rhinitis is the collection of symptoms involving mucous membranes of nose, eyes, ears, and throat after an exposure to allergens such as pollen, dust, or dander. 

DESCRIPTION

  • IgE-mediate...

DIAGNOSIS

Diagnosis is made primarily by history and physical exam. 

HISTORY

  • Evaluation of nature, duration, and time course of symptoms

  • History of atopic dermatitis and/or food allergies

  • History of nasal...

TREATMENT

There are three mainstays of treatment of allergic rhinitis: 
  • Allergen avoidance

  • Medication

  • Allergy immunotherapy

GENERAL MEASURES

Limit exposure to offending allergen. 

MEDICATION

Oral medication ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Initiation of patient education is critical. 

DIET

Some patients with severe sensitivity to seasonal pollens may have oral allergy syndrome, which...

REFERENCES

1
Wallace  DV, Dykewicz  MS, Bernstein  DI, et al; for Joint Task Force on Practice Parameter for Allergy and Immunology. The diagnosis and management of rhinitis: an...

SEE ALSO

Conjunctivitis, Acute 

CODES

ICD10

  • J30.89 Other allergic rhinitis

  • J30.81 Allergic rhinitis due to animal (cat) (dog) hair and dander

  • J30.2 Other seasonal allergic rhinitis

  • J30.5 Allergic rhinitis due to food

  • J30.8 Other allergic...

CLINICAL PEARLS

  • Nasal saline irrigation (flushing 6 to 8 oz) may be very helpful in clearing upper airway of secretions and may precede the use of nasal corticosteroids.

  • 2nd-generation antihistamines a...

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