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Chronic Nonallergic Rhinitis

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121. Sinusitis (Diagnosis)

detail. Diagnosis Acute sinusitis is a clinical diagnosis. However, the evaluation might include the following laboratory tests [ ] : Nasal cytology Nasal-sinus biopsy Tests for immunodeficiency, cystic fibrosis, or ciliary dysfunction Nasal cytology examinations may be useful to elucidate the following entities: Allergic rhinitis [ ] Eosinophilia Nasal polyposis Aspirin sensitivity Tests for immunodeficiency are indicated if history findings indicate recurrent infection; they include the following (...) , intracranial), and associated factors (nasal polyposis, immunosuppression, anatomic variants). (See , , and .) Acute sinusitis is a clinical diagnosis; thus, an understanding of its presentation is of paramount importance in differentiating this entity from allergic or vasomotor rhinitis and common upper respiratory infections. No specific clinical symptom or sign is sensitive or specific for acute sinusitis, so the overall clinical impression should be used to guide management. (See .) The primary goals

2014 eMedicine Emergency Medicine

122. Sinusitis (Overview)

detail. Diagnosis Acute sinusitis is a clinical diagnosis. However, the evaluation might include the following laboratory tests [ ] : Nasal cytology Nasal-sinus biopsy Tests for immunodeficiency, cystic fibrosis, or ciliary dysfunction Nasal cytology examinations may be useful to elucidate the following entities: Allergic rhinitis [ ] Eosinophilia Nasal polyposis Aspirin sensitivity Tests for immunodeficiency are indicated if history findings indicate recurrent infection; they include the following (...) , intracranial), and associated factors (nasal polyposis, immunosuppression, anatomic variants). (See , , and .) Acute sinusitis is a clinical diagnosis; thus, an understanding of its presentation is of paramount importance in differentiating this entity from allergic or vasomotor rhinitis and common upper respiratory infections. No specific clinical symptom or sign is sensitive or specific for acute sinusitis, so the overall clinical impression should be used to guide management. (See .) The primary goals

2014 eMedicine Emergency Medicine

123. A 50-year old woman with nasal congestion, cough, and dyspnea. (Abstract)

A 50-year old woman with nasal congestion, cough, and dyspnea. We present a 50-year-old woman with progressive dyspnea, cough, and nasal congestion. Evaluation revealed positive skin tests (IgE) to trees and dust mites, early glottic closure on spirometry, and sinus opacities on CT. Diagnostic considerations included allergic and nonallergic rhinitis, asthma, aspirin-exacerbated respiratory disease, vocal cord dysfunction, chronic sinusitis secondary to gastroesophageal reflux disease

2013 Allergy and Asthma Proceedings

124. Rhinosinusitis

, this can block the sinuses and cause pain. There are several types of sinusitis, including Acute, which lasts up to 4 weeks Subacute, which lasts 4 to 12 weeks Chronic, which lasts more than 12 weeks and can continue for months or even years Recurrent, with several attacks within a year Acute sinusitis often starts as a cold, which then turns into a bacterial infection. Allergies, nasal problems, and certain diseases can also cause acute and chronic sinusitis. Symptoms of sinusitis can include fever (...) infekce. Místní komplikace zahrnují jednak vliv na záněty okolních struktur vč. jejich chronicity (rhinitis či pharyngitis chronica). Závažné mohou být komplikace při šíření zánětu do orbity, popř. lebky. Častěji se objevují např. záněty průdušek a průduškové astma – tzv. sinobronchiální syndrom. Léčba s. zahrnuje klid, dostatečné zvlhčování vzduchu, obklady, nosní kapky ke zmírnění zduření sliznice, antibiotika. V těžších případech je nutné provést punkci dutin s jejich výplachem. V případě

2015 FP Notebook

125. Eosinophilia Syndrome

Syndrome Aka: Eosinophilia Syndrome , Nares Syndrome , Nonallergic Rhinitis with Eosinophilia From Related Chapters II. Definitions Nonallergic Rhinitis with Eosinophilia Subtype of characterized by nasal III. Epidemiology Perennial More common in adults May represent up to a third of cases IV. Symptoms Congestion V. Labs ing ( or ) negative Nasal secretion microscopy Nasal and mast cell degranulation VI. Differential Diagnosis See Chronic See VII. Associated conditions: Triad sensitivity Non-IgE (...) -mediated s Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Eosinophilia Syndrome." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Eosinophilic non-allergic rhinitis (C0684902) Concepts Disease or Syndrome ( T047 ) SnomedCT 93447004 English NARES , Eosinophil non-allergic rhinit , Eosinophilic non-allergic rhinitis , Eosinophilic nonallergic

2015 FP Notebook

126. Pilot evaluation of the nasal nitric oxide response to humming as an index of osteomeatal patency. (Abstract)

Pilot evaluation of the nasal nitric oxide response to humming as an index of osteomeatal patency. Paranasal sinuses are reservoirs for nitric oxide (NO), and humming facilitates nasal diffusion of NO. The nasal NO response to humming has previously been shown to be blunted with chronic sinusitis and nasal polyposis. We hypothesized that the nasal NO response to humming will be proportional to radiographic osteomeatal patency when comparing allergic rhinitis (AR) patients (without chronic (...) the study. Seventeen AR patients (5 IAR and 12 PAR) participated, as did 16 nonallergic controls. Among controls, quiet nasal NO levels--corrected for fractional exhaled NO--rose significantly with OMC area and fell significantly with Lund-Mackay scores (p < 0.05). However, we observed no proportionality between H/Q ratio and radiographic OMC patency.Analysis of nasal NO samples taken under quiet conditions from normal controls was consistent with the paranasal sinuses acting as a reservoir of nasal

2012 American journal of rhinology & allergy

127. Urticaria

be pinpoint in size, or several inches in diameter. is a related condition (also from allergic and nonallergic causes), though fluid leakage is from much deeper blood vessels in the subcutaneous or submucosal layers. Individual hives that are painful, last more than 24 hours, or leave a bruise as they heal are more likely to be a more serious condition called . Hives caused by stroking the skin (often linear in appearance) are due to a benign condition called . Cause [ ] Hives can also be classified (...) by the purported causative agent. Many different substances in the environment may cause hives, including medications, food and physical agents. In perhaps more than 50% of people with chronic hives of unknown cause, it is due to an reaction. Medications [ ] Drugs that have caused allergic reactions evidenced as hives include , sulphate of , , , , , , trichazole, , , , , , and . The antidiabetic , in particular, has been documented to induce allergic reactions manifesting as hives. Drug-induced hives has been

2012 Wikipedia

128. Factors affecting outcome of inferior turbinate mucotomy in treatment of postnasal drip syndrome. (Abstract)

) with hyperplasia of the inferior turbinates underwent bipolar diathermy mucotomy. Nonallergic noninfectious rhinitis was diagnosed in 18, neutrophilic in 58, allergic in 18 and NARES in 14 patients. The participants were questioned about postnasal drip (PND) intensity before and 2 months after surgery.Results of mucotomy significantly depended on the etiology of chronic rhinitis and were worst in patients with NARES (p < 0.05). Percent values of reduction of PND intensity after mucotomy and percent of daytime (...) Factors affecting outcome of inferior turbinate mucotomy in treatment of postnasal drip syndrome. Postnasal drip syndrome may result from isolated hyperplasia of nasal inferior turbinates due to chronic rhinitis. Mucotomy (conchotomy) performed in such patients is generally effective but in some individuals the problem persists after surgery.The aim of this study was to determine factors influencing outcome of the therapy.One hundred six patients aged 17-60 years (mean = 34, SD = 12

2010 American journal of rhinology & allergy

129. Comparison of ultrasound turbinate reduction, radiofrequency tissue ablation and submucosal cauterization in inferior turbinate hypertrophy. (Abstract)

and safety of ultrasound treatment of the hypertrophied inferior turbinates, which is a technique recently applied in rhinologic surgery. We aimed, also, to compare this method with the radiofrequency cold coblation turbinate reduction and the traditional submucosal monopolar inferior turbinate cauterization. We studied prospectively 60 patients with chronic hypertrophic rhinitis of nonallergic etiology, who underwent different surgical methods of turbinate reduction, divided into two groups: (1) in 30 (...) Comparison of ultrasound turbinate reduction, radiofrequency tissue ablation and submucosal cauterization in inferior turbinate hypertrophy. Chronic nasal obstruction owed to chronic hypertrophic rhinitis is a common cause of nasal airway obstruction. In cases unresponsive to conservative treatment, various surgical techniques are commonly performed, but the issue of the optimal surgical procedure is still controversial. The objective of the present study was to evaluate the effectiveness

2010 European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery Controlled trial quality: uncertain

130. Study to Investigate Effects of CAL-101 in Subjects With Allergic Rhinitis Exposed to Allergen in an Environmental Chamber

: Age > or = 18 and < or = 55 years Has a history of seasonal allergic rhinitis for at least 2 years Has sensitivity to grass pollen demonstrated by a positive response to skin prick testing Has a positive Radio Allergen Sorbent Test (> or = class 2) for grass pollen during the previous 12 months or at screening Is otherwise healthy, that is, free from clinically significant illness or disease as determined by medical history, physical examination and laboratory tests, including a normal 12-lead (...) ) History of chronic nasal or upper respiratory tract symptoms or disorders other than allergic rhinitis History of nonallergic rhinitis, chronic sinusitis or severe asthma Has a nasal condition likely to affect the outcome of the study, i.e. nasal septal perforations, nasal polyps, sinus disease, chronic nasal obstruction, or other nasal diseases Is currently taking regular medication, whether prescribed or not, including corticosteroids, vitamins, macrolides, anti-fungal agents and herbal remedies

2009 Clinical Trials

131. Characteristics of Nonallergic Vasomotor Rhinitis Full Text available with Trip Pro

survey designed to help physicians recognize differences between allergic rhinitis and nonallergic rhinitis subtypes found that patients with symptom onset later in life (> 35 years), no family history of allergies, no seasonality or cat-induced symptoms, and symptoms induced by perfumes and fragrances had > 95% likelihood of having a physician diagnosis of NAR. Of note, clinical symptoms were not generally useful for differentiating chronic rhinitis subtypes which has also been confirmed in a more (...) recent study investigating the relationship between headaches and chronic rhinitis subtypes (Table 1). In subsequent studies it was found that a significant percentage of NAR patients did not experience irritant-induced symptoms, suggesting that these triggers are not a clinical characteristic that can be uniformly used for all NAR patients. However, a newly developed Irritant Index Scale can be used to reliably differentiate pure allergic rhinitis from nonallergic rhinitis with trigger phenotypes

2009 The World Allergy Organization journal

132. Evaluation of nasal cytology in subjects with chronic rhinitis: a 7-year study. (Abstract)

of diagnostic problem of rhinitis. We sought to characterize the cellular pattern of patients with allergic rhinitis (AR) and compare them with those of NAR.According to the skin prick test positivity or negativity, individuals were divided into AR and NAR groups, respectively. Allergic rhinitis group was further divided into seasonal, perennial, and mixed subgroups. Nonallergic rhinitis group was also divided into the following 5 subgroups according to the nasal smear cytologic result: basophilic (...) Evaluation of nasal cytology in subjects with chronic rhinitis: a 7-year study. No diagnostic test had been specifically developed to diagnose nonallergic rhinitis (NAR). Also a negative nasal smear for eosinophils does not rule out the diagnosis. There is a significant diagnostic problem in patients with NAR. How can we solve this problem?Assessment of other cells than eosinophils present in the cytogram such as basophils, neutrophils, and goblet cells may help us to classify and management

2009 American Journal of Otolaryngology

133. Objective assessments of allergic and nonallergic rhinitis in young children. Full Text available with Trip Pro

and significantly associated with nasal eosinophilia, but this association was stronger for allergic rhinitis.Allergic rhinitis and nonallergic rhinitis are of different pathologies as suggested from their different associations not only to allergy but importantly also to irreversible nasal airway obstruction and eosinophilic inflammation. Allergic rhinitis was significantly associated with nasal eosinophilia and irreversible nasal airway obstruction suggesting chronic inflammation and structural remodeling (...) Objective assessments of allergic and nonallergic rhinitis in young children. Allergic and nonallergic rhinitis are common childhood disorders.To study nasal eosinophilia and nasal airway patency in young children with allergic and nonallergic rhinitis to assess the pathology behind such diagnoses.We investigated 255 children at six years of age from the Copenhagen Prospective Study on Asthma in Childhood birth cohort assessing rhinitis history, specific immunoglobulin E relevant to rhinitis

2009 Allergy

134. Allergic and nonallergic rhinitis: can we find the differences/similarities between the two pictures? (Abstract)

Allergic and nonallergic rhinitis: can we find the differences/similarities between the two pictures? The diagnostic challenge of rhinitis is to determine the etiology, specifically whether it is allergic or nonallergic. We therefore evaluated the general features of patients with allergic (AR) and nonallergic rhinitis (NAR), as well as health-related quality of life (HRQoL). The study group consisted of 323 patients (201 F/122 M) with a mean age of 31.79 +/- 12.64 years. Almost two thirds (...) of the population had AR (63.5%). Neither the demographic characteristics nor the duration of rhinitis was different between the two groups. Total immunoglobulin E was significantly higher in AR. Although both groups displayed a mild-intermittent rhinitis profile, patients with AR had more seasonal and NAR had more perennial symptoms (p = 0.01). Frequency of nasal obstruction was comparable in both groups, whereas patients with AR significantly complained of rhinorrhea (86.8%), followed by nasal obstruction

2009 Journal of Asthma

135. Genes regulating molecular and cellular functions in noninfectious nonallergic rhinitis. (Abstract)

Genes regulating molecular and cellular functions in noninfectious nonallergic rhinitis. Chronic noninfectious, nonallergic rhinitis (NINAR) is a complex syndrome with a principally unknown pathophysiology. New technology has made it possible to examine differentially expressed genes and according to network theory, genes connected by their function that might have key roles in the disease.Connectivity analysis was used to identify NINAR key genes. mRNA was extracted from nasal biopsies from 12

2009 Allergy

136. Evolution of patients with nonallergic rhinitis supports conversion to allergic rhinitis. (Abstract)

Evolution of patients with nonallergic rhinitis supports conversion to allergic rhinitis. Nonallergic rhinitis (NAR) affects a significant number of patients in clinical practice. However, the different entities involved within NAR require further study. Once allergy has been ruled out, most of these patients are not usually followed up in allergy clinics, despite the persistence of rhinitis symptoms. Thus few data are available concerning the natural evolution of these patients.We sought to re (...) %) and new comorbidities (24%) over time. The most frequent comorbidities at the re-evaluation were asthma (increasing from 32% to 55%) and conjunctivitis (from 28% to 43%), followed by chronic rhinosinusitis. Sensitization to aeroallergens not present at the initial evolution was detected by means of skin prick testing, serum specific IgE measurement, or both in 24% of the patients.Persistent moderate-to-severe rhinitis associated with asthma, conjunctivitis, or both and sensitization to aeroallergens

2009 Journal of Allergy and Clinical Immunology

137. Physician perceptions of the treatment and management of allergic and nonallergic rhinitis. (Abstract)

Physician perceptions of the treatment and management of allergic and nonallergic rhinitis. Historically, rhinitis has been perceived by many clinicians in respiratory medicine as an unimportant condition. The purpose of this study was to evaluate physicians' perceptions of the impact of allergic rhinitis and chronic or nonallergic rhinitis on patients' health. This cross-sectional survey involved U.S. physicians identified from a claims database as treating patients with allergic rhinitis (...) or chronic rhinitis during a 13-month period. Responses were stratified by physicians' overall assessment of their patients' rhinitis severity, presence or absence of an allergy specialist at the practice, and agreement or disagreement that allergic rhinitis and nonallergic rhinitis should be managed similarly. Of 2614 physicians invited to participate, 766 responded. Physicians who perceived the majority of their patients as having moderate-to-severe symptoms were more likely to be prescribed more than

2009 Allergy and Asthma Proceedings

138. Weather/temperature-sensitive vasomotor rhinitis may be refractory to intranasal corticosteroid treatment. (Abstract)

rhinitis that include these conditions. A recently introduced INS with established efficacy in allergic rhinitis and enhanced affinity, fluticasone furoate, may possess the potency and safety profile required to treat chronic VMR(w/t). Two replicate studies (FFR30006 and FFR30007) were conducted in six countries to evaluate the efficacy and safety of fluticasone furoate nasal spray in subjects with VMR(w/t). After a 7- to 14-day screening period, subjects (n = 699) with symptomatic VMR(w/t) received (...) Weather/temperature-sensitive vasomotor rhinitis may be refractory to intranasal corticosteroid treatment. Vasomotor rhinitis (VMR) is a common but poorly understood disorder of which there are two major subgroups: VMR(w/t), triggered by weather/temperature and VMR(ir), triggered by airborne irritants. No specific biological pathways or specific treatments for VMR(w/t) or VMR(ir) have been identified. However, intranasal corticosteroids (INSs) are effective in treating many forms of nonallergic

2009 Allergy and Asthma Proceedings Controlled trial quality: predicted high

139. allergic rhinosinusitis

allergic rhinosinusitis allergic rhinosinusitis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search allergic rhinosinusitis Allergic rhinitis may be: seasonal (also called "hay fever") caused by grass, tree pollen allergens, symptoms can seen during the same time each year perennial caused by house dust mites, symptoms occur right throughout the year occupational caused by allergens at workplace e.g.- flour allergy in a baker (...) (1) Allergic rhinitis can also be divided according to the severity and persistence of symptoms: mild intermittent moderate severe intermittent mild persistent moderate severe persistent (1) It is characterized by rhinorrhoea nasal blockage sneezing attacks for longer than 1 hour per day lasting longer than 2 weeks itching - eyes, nose watery eyes fatigue malaise headache (2) wheezing shortness of breath (3) Allergic rhinitis may coexist with asthma, eczema, or chronic sinusitis. It occurs when

2010 GP Notebook

140. Estimating the Costs to the NHS of Smoking in Pregnancy for Pregnant Women and Infants

to pollen 977 J30.2 Other seasonal allergic rhinitis 65 J30.3 Other allergic rhinitis 348 J30.4 Allergic rhinitis, unspecified 287 J31.0 Chronic rhinitis 1,230 J31.1 Chronic nasopharyngitis 37 J31.2 Chronic pharyngitis 435 J32.0 Chronic maxillary sinusitis 1,113 J32.1 Chronic frontal sinusitis 183 J32.2 Chronic ethmoidal sinusitis 200 J32.3 Chronic sphenoidal sinusitis 54 J32.4 Chronic pansinusitis 229 J32.8 Other chronic sinusitis 311 J32.9 Chronic sinusitis, unspecified 3,490 J33.0 Polyp of nasal (...) 35,627 J04.0 Acute laryngitis 716 J04.1 Acute tracheitis 337 J04.2 Acute laryngotracheitis 127 J05.0 Acute obstructive laryngitis [croup] 13,061 J05.1 Acute epiglottitis 529 J06.0 Acute laryngopharyngitis 51 J06.8 Other acute upper respiratory infections of multiple sites 323 J06.9 Acute upper respiratory infection, unspecified 48,580 107,675 Aged under 1 only 5,336 LOWER RESPIRATORY J22.X Unspecified acute lower respiratory infection 122,093 J30.0 Vasomotor rhinitis 85 J30.1 Allergic rhinitis due

2008 Public Health Research Consortium

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