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Evaluation and management of allergic rhinitis
1Department of Otolaryngology, University of Rochester Medical Center, New York, USA.
The Medical Clinics of North America
|February 3, 1999
Summary
Allergic rhinitis causes common symptoms like sneezing and eye irritation, alongside less obvious ones such as fatigue and headaches. Effective treatments include nasal steroids and antihistamines, with immunotherapy for persistent cases.
Area of Science:
- Allergy and Immunology
- Otolaryngology
Background:
- Allergic rhinitis is a prevalent condition with overt symptoms like sneezing and nasal itching.
- Subtle symptoms including lethargy, headache, and reduced productivity are often overlooked.
- Food sensitivities can complicate rhinitis management, but are frequently disregarded.
Purpose of the Study:
- To review the clinical presentation of allergic rhinitis.
- To discuss current and emerging treatment options.
- To highlight the importance of considering food sensitivities.
Main Methods:
- Literature review of allergic rhinitis diagnosis and management.
- Analysis of current therapeutic guidelines.
- Discussion of pharmacological and non-pharmacological interventions.
Main Results:
- Topical nasal steroids and nonsedating antihistamines are effective first-line treatments with minimal side effects.
- Immunotherapy is a viable option for patients unresponsive to initial treatments.
- Addressing food sensitivities may be crucial for certain patients.
Conclusions:
- Comprehensive management of allergic rhinitis requires recognizing both overt and subtle symptoms.
- Pharmacological treatments like nasal steroids and antihistamines offer significant relief.
- Immunotherapy and consideration of food sensitivities provide further therapeutic avenues for complex cases.