most common atopic condition in U.S.
allergic rhinitis (20%)
patient suffers from allergy Sx during particular season
Seasonal allergic rhinitis
year round allergies (dust, pets, molds, cockroaches)
perennial allergic rhinitis
no known trigger for allergy like Sx, but may have correlation to particulates in air (smoke, hair spray, perfumes…)
Non allergic rhinitis
Sx
pruritis eyes itch, water, dry nasal itch, sneeze, congestion, runny nose, post nasal drip sore throat cough wheezing SOB Headache
rebound effect from overuse of medication, typically topial alpha adrenergic decongestant spray or intranasal cocaine use
Rhinitis Medicamentosa
How to Dx allergic rhinitis
Hx
Physical Exam
Skin Test
Tx for allergic rhinitis
avoidance
pharmacotherapy
immunotherapy
control indoor allergens as much as possible