George A. Sprecace M.D., J.D., F.A.C.P. and Allergy Associates of New London, P.C.
www.asthma-drsprecace.com


RHINITIS - NOTHING TO SNEEZE AT!

CATEGORIES:

  1. Infectious
  2. Non-Infectious:
    1. Allergic, including the issue of local tissue IgE synthesis
    2. Non-Allergic...
      1. NARES: Non-Allergic Rhinitis with Eosinophilia
      2. Irritational, including occupational
      3. Drug-Induced: topical decongestants, several blood pressure medications, aspirin....
      4. Vasomotor
      5. Atrophic
      6. (Ideopathic): Chronic Rhinitis/Sinusitis/Nasal  Polyposis, with or with or without aspirin sensitivity
MEDICATIONS:
Allegra, Clarinex, Zyrtec,  Nasalcrom, Nasal steroids, Saline, Leukotriene Inhibitors, Astelin, Robitussin, Atrovent, (Aspirin), Immunotherapy/Immunomodulation
IMPORTANCE:
High prevalence; frequently complicated by acute and chronic sinusitis; frequently complicates and is associated with serious bronchial asthma - through reflex mechanisms, direct bacterial seeding, and probably same pathogenesis.
RECOMMENDATIONS:
Treat aggressively, for symptom relief and to avoid lower as well as upper  respiratory tract complications.  NOTHING TO SNEEZE AT!
GS


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