Allergic rhinitis is clinically defined as a symptomatic disorder of the nose induce by an IgE-mediated inflamation after allergen exposure of the membrane of the nose
The new classification of allergic rhinitis:
Uses symptoms and quality of life parameters
Is based on duration: intermitten or persistent
Is base on severity: mild or moderate-severe
Seasonal allergic rhinitis/Hay fever : symptom complex that follows sensitization to windborne pollens of trees, grasses, and weeds.
Perennial allergic rhinitis : the patient has year-round symptoms, caused generally by allergens which exposed with the patient. Most often by indoor inhalant allergens.
House mite, tick
Scent of alcohol
Chemical scent :ink, paint
Diagnosis / clinical manifestations
Headache / lethargic
Itching of the nose, palate, pharynx, & ears
Itching, redness tearing of the eyes (conjunctive erythema)
General :avoidance of exposure to suspected allergens/ irritants
Immunotheraphy (if cannot avoid the inhalant allergens)
Pseudoephedrine (nasal obstruction)
2-5 years : 15 mg / 6 hour
6-12 years : 30 mg / 6 hour
>12 years : 60 mg / 6 hour
Topical nasal corticosteroid (beclomethasone, budesonide, fluticasone, mometasone) for children with nasal symptoms are resistant to antihistamine-decongestant
Initial dosage : 1-2 spray in each nostril
(2-3 times) per day. After 3-4 days as symptoms improves, the dosa / frequency of use are reduced until a minimal effective dosage is reached.
Complications : local burning, irritation & epistaxis