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Allergic rhinitis in Adult
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Allergic rhinitis in Adult

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Contributors: Benjamin L. Mazer MD, MBA, Mary Anne Morgan MD
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Synopsis

Allergic rhinitis is a common cause of nasal congestion, rhinorrhea, sneezing, and lacrimation. It affects up to 20% of individuals in the United States. There are many triggers, including plants, animal dander, pollens, and molds. These allergens are thought to cause allergic rhinitis through IgE-mediated mast cell degranulation in the nasal mucosa. Specific triggers for any given patient are not usually identified. Allergic rhinitis may present with a seasonal or perennial (chronic) pattern. It is more common in people with atopic conditions such as asthma, dermatitis, and food allergies. Allergic rhinitis frequently diminishes in severity as patients age.

First-line treatments include pharmacotherapy and allergen avoidance.

A 2017 Joint Task Force of the American Academy of Allergy, Asthma and Immunology and the American College of Allergy, Asthma and Immunology provided the following "strong recommendations":
  1. For initial treatment of seasonal allergic rhinitis in persons aged 12 years or older, routinely prescribe monotherapy with an intranasal corticosteroid rather than an intranasal corticosteroid in combination with an oral antihistamine.
  2. For initial treatment of seasonal allergic rhinitis in persons aged 15 years or older, recommend an intranasal corticosteroid over a leukotriene receptor antagonist.
Related topics: Drug-induced rhinitis, Vasomotor rhinitis

Codes

ICD10CM:
J30.9 – Allergic rhinitis, unspecified

SNOMEDCT:
61582004 – Allergic Rhinitis

Differential Diagnosis & Pitfalls

Best Tests

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 02/02/2018
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Allergic rhinitis in Adult
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Allergic rhinitis : Nasal congestion, Recurring episodes or relapses, Rhinorrhea, Sneezing, Ocular pruritus
Copyright © 2019 VisualDx®. All rights reserved.