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Rhinitis, Cold Air–Induced

Gemma Kim, MD, Tae K. Kim, MD and Kenneth T. Acha, MD Reviewed 06/2019
 


BASICS

  • Cold air–induced rhinitis produces nasal symptoms when exposed to cold air.

  • Also known as nasal hyperreactivity and is a form of nonallergic rhinitis

DESCRIPTION

  • Nasal hyperreactivity is an increa...

DIAGNOSIS

Nasal symptoms initiated by climate or temperature changes not usually occurring in healthy populations 

HISTORY

  • Response of cold, dry air exposure was rhinorrhea and congestion within the fir...

TREATMENT

MEDICATION

  • Anticholinergic treatments are effective in cold air–induced rhinorrhea.

  • Nasal steroids are not effective in cold air–induced rhinitis (5)[A].

  • Histamine also does not appear to be in...

REFERENCES

1
Cruz AA, Togias A. Upper airways reactions to cold air. Curr Allergy Asthma Rep.  2008;8(2):111–117. [View Abstract on OvidMedline]
2
Graudenz GS, Landgraf RG, Jancar S, et al. The role...

ADDITIONAL READING

  • Greiner AN, Meltzer EO. Overview of the treatment of allergic rhinitis and nonallergic rhinopathy. Proc Am Thorac Soc.  2011;8(1):121–131. [View Abstract on OvidMedline]

  • Nacleri...

CODES

ICD10

J31.0 Chronic rhinitis 

ICD9

472.0 Chronic rhinitis 

SNOMED

311000119101 non-allergic rhinitis (disorder) 

CLINICAL PEARLS

  • Rhinorrhea is the most frequent symptom of cold air–induced rhinorrhea.

  • Diagnosis of exclusion

  • Anticholinergic treatments are effective by decreasing nasal secretions.

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