Skin testing using intradermal prick skin tests to determine the specific allergens causing allergic rhinitis.Edema in the area below the eye if associated conjunctivitis is present. ![]() Examination of the nose reveals a crease below the nasal bridge from repeated pulling of the nose secondary to irritation.Rhinorrhea fluid is usually clear and watery.Symptoms may be related to a specific season of the year, hence the name “seasonal allergies”.Characterized by repeated paroxysms of rhinorrhea, sneezing and cough.PCR is rapid and accurate test but done only in immunocompromised patients when the virus strain needs to be known.The virus can be cultured on human lung cells but results take time.Diagnosis is usually clinical and lab tests are rarely needed.Nasal mucosa is congested and hyperemic.Cough that may persist after the resolution of the other symptoms.Ciliary dyskinesia syndrome: Chronic rhinitis with mucopurulent secretion which manifests from birth could be suggestive of primary ciliary dyskinesia.Cerebrospinal fluid rhinorrhea: In cases where CSF rhinorrhea is suspected, the rhinorrhea can be evaluated for beta-2 transferrin ( beta-2 transferrin is an endogenous marker of CSF leakage).Metabolic conditions such as acromegaly.Pharyngeal reflux (laryngopharyngo-nasal reflux).Anatomical variants in the ostiomeatal complex.Foreign bodies- Unilateral, mucopurulent rhinorrhea in children could be as a result of insertion of foreign objects into the nostril.Deviated nasal septum/septal wall anomalies.The following conditions can present with symptoms that are similar to those found in rhinitis: It is important to differentiate rhinitis from other conditions micmicking the symptoms of rhinitis such as intranasal foreign bodies, cerebrospinal fluid rhinorrhea, nasal polyps and tumors. It can also be the initial presentation of overt systemic illnesses which can be potentially fatal. It is associated with several comorbidities which can have significant impact on the quality of life. ![]() Rhinitis is a very common disease that is frequently overlooked or undertreated. Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S Overview
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |