Allergic rhinitis in Child
AR may present with a seasonal, occupational, or perennial (chronic) pattern. More recently, however, AR has been categorized as "intermittent," "persistent," "mild," or "moderate," depending on duration and frequency of symptoms. The condition affects people of all demographics and locations; however, there is thought to be a higher likelihood of AR in individuals with a family history of allergies. Of note, it is more common in people with atopic conditions such as asthma, atopic dermatitis, and food allergies. AR typically develops before age 20 and frequently diminishes in severity as patients age.
Although not life-threatening, AR can dramatically impact quality of life and school / workplace productivity.
Related topics: drug-induced rhinitis, vasomotor rhinitis
J30.9 – Allergic rhinitis, unspecified
61582004 – Allergic Rhinitis
Differential Diagnosis & Pitfalls
- Vasomotor rhinitis – when allergic causes are ruled out, this may be caused by changes in weather, medications, foods, or chronic health conditions
- Drug-induced rhinitis – from use of cocaine, oral contraceptives, NSAIDs, chlorpromazine, rebound from decongestant use
- Nasal polyps – can be found on nasal endoscopy
- Nasal tumor (eg, nasopharyngeal cancer)
- Foreign body – can be determined by thorough history and inspection; usually presents with purulent unilateral rhinorrhea
- Deviated septum
- Choanal atresia in infants
- Adenoid hypertrophy in children
Drug Reaction Data