Allergic Rhinosinusitis Flashcards
What are the classifications of allergic rhinosinusitis?
Seasonal
Perennial
What is seasonal allergic rhinosinusitis also known as?
Hayfever
What is the pathology of allergic rhinosinusitis?
T1HS IgE mediated inflammation from allergen exposure leads to mediator release from mast cells
What allergens can cause allergic rhinosinusitis?
Pollen
House dust mites
What are the symptoms of allergic rhinosinusitis?
Swollen, pale, and boggy turbinates
Nasal polyps
What investigations are done in allergic rhinosinusitis?
Skin-prick testing to find allergens
RAST tests
What is involved in the conservative management of allergic rhinosinusitis?
Allergen avoidance
Give two examples of how allergic avoidance can be achieved?
Regularly wash bedding on high heat, or use acaricides
Avoid going outside when pollen count is high
What medications are involved in the first line management of allergic rhinosinusitis?
Anti-histamines
Beclometasone nasal spray
Give two examples of anti-histamines that can be used in allergic rhinosinusitis?
Cetirazine
Desloratidine
What is involved in the second line management of rhinosinusitis?
Intranasal steroids and anti-histamines
What is involved in the third line management of rhinosinusitis?
Zafirlukast
What is involved in the 4th line management of rhinosinusitis?
Immunotherapy
What is the aim of immunotherapy in allergic rhinosinusitis?
Aim to induce desensitisation to the allergen
What adjuvants to therapy can be used in allergic rhinosinusitis?
Nasal decongestants
