Allergic rhinitis Flashcards
What white cell is activated in type 1 hypersensitivity?
Mast cell
What do mast cells activate?
Histamine
Leukotriene
What is the ARIA classification of persistent rhinitis?
More than 4 days/week
More than 4 weeks long
What is the ARIA classification of moderate rhinitis?
One of:
Abnormal sleep
Impairment of normal activities
What is the stepwise approach to allergic rhinitis?
Antihistamines
Topical steroids
Then both
What antihistamines are you prescribing for allergic rhinitis?
Cetirizine
Which inhaled steroid is being prescribed?
Fluticasone
What allergic testing is done?
RAST testing or skin prick
What is the benefit of RAST testing?
Cheaper.
One blood sample taken and IgE measured.
What nasal decongestant can be given?
Otrivine
What must be remembered about Otrivine use?
Not for long term
True or False
Nasal polyps are associated witth allergic asthma
False
Non-allergic asthma
How are nasal polyps treated?
Oral then topical steroids
What symptoms may be present in infective rhinosinusitis?
Facial pressure
Discharge
Nasal blockage
What is the treatment for infective rhinosinusitis?
Analgesia
Decongestants
Abx if worsening
True or false
Infective rhinosinusitis is mostly viral
True
What complications of infective rhinosinusitis need to be considered?
Orbital cellulitis
What is the management of orbital cellulitis?
Emergency referral
If fungus is the antigen, when is the rhinosinusitis at its worst?
Winter
What practical advice can be given to a patient with rhinosinusitis?
Keep pets off bed Hoover well Mattress protectors Avoid allergen as much as possible Take antihistamines if allergen foreseen
If unilateral swelling in adolescents males then what condition should be considered?
Neurofibroma
