Allergic rhinitis

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Background

Allergic Rhinitis (also called hay fever) is inflammation of the nasal mucosa secondary to allergens in the air.

Clinical Features

  • Patient present with a constellation of symptoms
    • thin clear rhinorrhea (if thick or discolored, consider infectious causes)
    • sneezing
    • itching of the nose
    • nasal congestion
    • nasal obstruction
    • clogged feeling in the ears
  • triggers often easily identified
    • animals
    • season changes
  • symptoms last until triggers are removed
  • should not have fevers


Differential Diagnosis

Evaluation

  • Exam
    • Ears- may see a serous otitis media, AOM
    • Eyes- watery
    • Nose
      • clear rhinorrhea
      • enlarged erythematous, shiny inferior turbinates (can see using an otoscope with an ear tip)
      • erythema around the alar cartilage (from whiping, nose blowing)
      • transverse nasal crease from the allergic solute or nasal solute- the act of rubbing the nose with the palm of the hand in an upward motion

Management

Disposition

See Also

External Links

References