allergic rhinitis

Question 1

what is the aetiology of allergic rhinitus ?

Answer 1

IgE mediated type 1 hypersensitivity reaction of the nasal mucosa

Question 2

What are the associations with Allergic rhinitus ?

Answer 2

eczema
asthma
family history may be noted

Question 3

what are the different causes of allergic rhinitis ?

Answer 3

1. intermittent ( seasonal)
2. persistent (perennial )
3. food allergens causing rhinitis

Question 4

what aree the symptoms of allergic rhinitis ?

Answer 4

watery rhinorrhea
nasal irritation
sneezing
nasal obstruction
ocular symptoms

Question 5

what are the signs of alleergic rhinitis ?

Answer 5

turbinate mucosa is bluish and pale
turbinates hypertrophy
watery nasal discharge
allergic nasal polyps

Question 6

what are the investigations required for allergic rhinitis ?

Answer 6

clinical diagnosis is enough
skin-prick allergy test
serum RAST

Question 7

what is the treatment for allergic rhinitis ?

Answer 7

avoiding allergen exposure
oral non-sedating antihistamines
intra-nasal steroids

Question 8

what type of immunotherapy can be used for the treatment of allergic rhinitis ?

Answer 8

1.desensitizing therapy
which can either be sublingual or subcutaneous injections

Question 9

what is the surgical approach of treatment in allergic rhinitis ?

Answer 9

turbinate reduction
functional endoscopic sinus surgery

Question 10

when is FESS indicated in allergic rhinitis ?

Answer 10

sinonasal polyps