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Rhinitis, Cold Air–Induced

Frank J. Domino, MD Reviewed 04/2024
 


BASICS

Also known as cold air-induced nonallergic vasomotor rhinitis 

DESCRIPTION

  • Cold air-induced rhinitis is a form of vasomotor rhinitis (VMR), which is a form of nonallergic rhinitis (NAR).  

  • NAR can...

DIAGNOSIS

HISTORY

  • Clinical history is the single most important element for establishing the diagnosis of rhinitis (AR or NAR), and differentiating it from other conditions with overlapping symptoms (...

TREATMENT

GENERAL MEASURES

  • First-line of treatment includes avoidance of the environmental trigger (2).

  • Patient education on avoiding environmental triggers is crucial (2).

MEDICATION

  • First line: Offer ...

ONGOING CARE

PATIENT EDUCATION

Trigger avoidance (2

PROGNOSIS

Persistent condition that is usually present lifelong (2

COMPLICATIONS

  • Interfere with work performance and school attendance due to frequ...

REFERENCES

1
Dykewicz MS, Wallace DV, Amrol DJ, et al. Rhinitis 2020: A practice parameter update. J Allergy Clin Immunol. 2020;146(4):721–767. 
2
Leader P, Geiger Z. Vasomotor rhinitis. 2021 Jul 15. In:...

ADDITIONAL READING

  • Cruz AA, Togias A. Upper airways reactions to cold air. Curr Allergy Asthma Rep. 2008;8(2):111–117. 

  • Silvers WS. The skier's nos...

CODES

ICD10

J31.0 Chronic rhinitis 

SNOMED

311000119101 non-allergic rhinitis (disorder) 

CLINICAL PEARLS

  • Cold air-induced rhinitis is a form of vasomotor rhinitis (VMR), which is a form of nonallergic rhinitis (NAR).  

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

  • D...

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