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"Overlapped" rhinitis: a real trap for rhinoallergologists.

¹Section of Otolaryngology Department of Basic Medical Science, Neuroscience and Sensory Organs University of Bari, Italy

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|November 15, 2014

Summary

Allergic rhinitis and nonallergic rhinitis are distinct conditions that can coexist as overlapped rhinitis (OR). This frequently overlooked condition impacts diagnosis and treatment for vasomotor rhinitis patients.

Keywords:

Vasomotor rhinitis allergic rhinitis nasal cytology therapy rhinitis

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Area of Science:

Otolaryngology
Allergy and Immunology
Rhinology

Background:

Vasomotor rhinitis encompasses allergic (IgE-mediated) and nonallergic rhinitis as separate entities.
Overlapped rhinitis (OR) occurs when both allergic and nonallergic rhinitis coexist in a single patient.
OR is estimated to affect 15-20% of patients with vasomotor rhinitis.

Discussion:

The distinct nature of allergic and nonallergic rhinitis necessitates specific diagnostic approaches.
Overlapped rhinitis presents a complex clinical scenario due to the co-occurrence of two separate conditions.
Underdiagnosis of OR has significant clinical and therapeutic implications.

Key Insights:

Overlapped rhinitis (OR) represents a significant, yet under-investigated, subgroup of vasomotor rhinitis.
Accurate diagnosis of OR is crucial for effective patient management.
The 15-20% estimated incidence highlights the prevalence of this overlapped condition.

Outlook:

Further research is needed to improve the investigation and diagnosis of OR.
Developing targeted therapeutic strategies for OR is essential.
Increased clinical awareness can lead to better outcomes for patients with vasomotor rhinitis.