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[Allergic rhinoconjunctivitis--past and present aspects].

B Niggemann1, U Wahn

  • 1Universitäts-Kinderklinik Berlin.

Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
|March 1, 1992
PubMed
Summary
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Allergic rhinoconjunctivitis, often underdiagnosed, presents seasonally or perennially. Diagnosis and treatment vary, with oral antihistamines for seasonal and topical steroids for perennial forms.

Area of Science:

  • Allergy and Immunology
  • Otorhinolaryngology

Context:

  • Allergic rhinoconjunctivitis encompasses seasonal (pollen) and perennial (house dust mites) forms.
  • Underdiagnosis, particularly of the perennial type, remains a clinical challenge.
  • Nasal lavage mediator measurement aids both research and clinical diagnosis.

Purpose:

  • To review the classification, diagnosis, and therapeutic guidelines for allergic rhinoconjunctivitis.
  • To highlight the distinct management strategies for seasonal and perennial allergic rhinoconjunctivitis.

Summary:

  • The condition presents clinically as 'sneezer,' 'blower,' or 'blocker' phenotypes.
  • Acute phases involve systemic symptoms due to immunological inflammation.
  • Nonsedating oral antihistamines are primary for seasonal allergic rhinoconjunctivitis.

Related Experiment Videos

  • Topical steroids are the established treatment for perennial allergic rhinoconjunctivitis.

    • Impact:

    • Improved diagnostic awareness, especially for perennial allergic rhinoconjunctivitis.
    • Guideline-based therapeutic approaches for optimizing patient outcomes.
    • Integration of mediator measurement in clinical decision-making.