Ver el código de «Allergic rhinitis»

==Background==
[[File:Blausen 0015 AllergicRhinitis.png|thumb|Inflammation associated with allergic rhinitis.]]
*Also called hay fever - inflammation of the nasal mucosa secondary to allergens in the air.
*Associated with [[asthma]] and [[atopic dermatitis]]

==Clinical Features==
*Constellation of symptoms:
**Thin, clear [[rhinorrhea|rhinorrhea]] (if thick or discolored, consider infectious causes)
**Sneezing, itching of the nose
**Nasal congestion and/or obstruction
**Clogged feeling in the ears
*Common triggers:
**Animals
**Environmental (e.g. grassess, pollens); often symptomatic with seasonal changes
*Symptoms last until triggers are removed
*Should not have actual fever

==Differential Diagnosis==
{{Rhinorrhea}}

==Evaluation==
*Clinical diagnosis
**PE may show infraorbital edema and darkening (allergic shiner), transverse nasal crease (allergic salute), and cobble-stoning of the posterior oropharynx
*Rule out bacterial infection

==Management==
*Reduce exposure to allergen
**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors
*Saline nasal irrigation (neti pot) twice a day- washes out allergens
*Combination of topic nasal steroids ([[fluticasone propionate]], nasonex) and/or nasal [[antihistamines]] (patanase)
**Must be used for several weeks before symptomatic relief is realized

==Disposition==
*Discharge home
**Consider allergist referral if nasal sprays not helping
**Consider ENT referral to evaluate for the need for sinus surgery, which may be help by opening up the sinuses allowing for better distribution of topical medications

==See Also==


==External Links==


==References==
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[[Category:ENT]]