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Rhinitis, Allergic

Naureen Rafiq, MD and Krista Goins, MD Reviewed 06/2018
 


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

  • Establish specific cause(s) by history and appropriate testing.

  • L...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

No specific restrictions on activity; emphasize avoiding activity where exposure to the allergen is likely. 

Patient Monitoring

Initiation of patient education is c...

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 updated practice parameter...

SEE ALSO

Conjunctivitis, Acute 

CODES

ICD10

  • J30.9 Allergic rhinitis, unspecified

  • J30.1 Allergic rhinitis due to pollen

  • J30.2 Other seasonal allergic rhinitis

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

  • J30.5 Allerg...

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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