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Rhinitis, Allergic, Pediatric

Esther K. Chung, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Inflammation of the nasal and sinus mucosae, associated with sneezing, swelling, increased mucus production, and nasal obstruction; may be classified as seasonal, perennial, or a com...

DIAGNOSIS

HISTORY

  • Typical symptoms: Patient often reports bilateral stuffy nose, sneezing, itching, runny nose, noisy breathing, snoring, cough, halitosis, and repeated throat clearing. Sensation of pl...

TREATMENT

GENERAL MEASURES

  • Avoidance therapy: Identify and eliminate known/suspected allergens.

  • Improve mucociliary flow.

    • Steam inhalation

    • Normal saline drops

MEDICATION

  • Antihistamines: particularly useful ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Fever, prolonged or severe headache, dizziness, pain, or purulent discharge suggests a diagnosis other than allergic rhinitis alone. 

PROGNOSIS

Ge...

ADDITIONAL READING

  • Berger WE, Meltzer EO. Intranasal spray medications for maintenance therapy of allergic rhinitis. Am J Rhinol Allergy.  2015;29(4):273–282. [View Abstract on OvidInsights]

  • Broze...

CODES

ICD9

  • 477.9 Allergic rhinitis, cause unspecified

  • 477.0 Allergic rhinitis due to pollen

  • 477.8 Allergic rhinitis due to other allergen

  • 477.2 Allergic rhinitis due to animal (cat) (dog) hair and dander

  • 4...

FAQ

  • Q: How does one minimize exposure to dust mites?

  • A: Keep household temperature low; maintain humidity at ~40–50%; wash linens weekly at hot temperatures; use a microfilter when vacuuming; place mat...

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