Disease Information for Rhinitis, allergic, seasonal

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Clinical Manifestations
Signs & Symptoms
Head fullness
Decreased taste ability/Hypoguesia
Drooling
Irritability/short tempered
Loss of Taste
Acute Cough in Children
Cough
Cough Acute
Noisy Breathing
Sneezing excess
Anosmia/Loss of sense of smell
Coryza
Coryza without URI/cold, recurrent
Decreased sense of smell
Epistaxis Children
Frequent Gagging Choking Clearing throat
Itchy nose
Itchy palate/throat
Nasal congestion
Nasal discharge
Nasal mucosal involvement/irritation
Nasal transverse crease/atopic sign
Nose blocked/stuffy
Nostrils/pruritic/itching/severe/constant (Wartenburg)
Pallor of nasal turbinates
Post-nasal drip/catarrh
Rhinorrhea
Runny nose/rhinorrhea
Scratchy throat/Dry throat
Sneezing
Sneezing/paroxysms
Snoring
Sore throat/Pharyngitis
Sore Throat/Throat Pain
Throat Conditions
Tickle throat/need to clear throat
Episodic symptoms/events
Bilateral Eyelid Edema
Dark circles/allergic shiners/eyes
Eyelids swollen/unilateral
Periorbital edema/Puffy eyes
Unilateral puffy eyelid/edema
Blocked ears feeling
Disease Progression
Course/Acute
Course/Benign course/disorder
Course/Periodic Episodic
Demographics & Risk Factors
Established Disease Population
Patient/Allergic/atopic
Population Group
Status/High acheiver/Professional population
Family History
Family history/Hay fever/asthma
Event, Activity, Behavioral & Seasonal Factors
Event/Autumn manifestations
Event/Seasonal events/exacerbation
Event/Springtime
Event/Summertime manifestations
Laboratory Tests
Abnormal Lab Findings - Increased
Eosinophiles (LAB)
IGE/Immunoglobulin E (Lab)
Diagnostic Test Results
Other Tests & Procedures
Skin tests/Allergy scatch tests abnormal
Associated Diseases & Rule outs
Rule Outs
Asthma
Associated Disease & Complications
Eosinophilia Hypereosinophilia
Epistaxis/nosebleed
Eustachian tube blockage/symptomatic
Laryngitis, acute
Maxillary sinusitis/Antrum sinusitis
Nasal obstruction
Rhinitis, atopic
Rhinitis/secondary, non specific
Upper respiratory infection/cold/URI
Disease Synergy - Causes
Synergy/Tobacco smoking
Disease Mechanism & Classification
Class
CLASS/Nose disorder (ex)
CLASS/Tracheonasal/larynx/pharynx (category)
Pathophysiology
Pathophysiology/Basophile degranulation process
Process
PROCESS/Allergy/collagen/autoimmune (category)
PROCESS/Atopic disorder (ex)
PROCESS/Hypersensitivity reaction (ex).
PROCESS/Hypersensitivity/Atopic/Allergic disorder (ex)
PROCESS/Inflammatory/Allergy/immune (ex)
PROCESS/Immune/antibody-antigen system dis. (ex)
Synonyms
Synonym
Hayfever allergic rhinitis, Rhinitis seasonal, seasonal rhinitis, Synonym/Hay fever
Treatment
Drug Therapy - Indication
RX/Antihistamine medication
RX/Astemizole (Hismanal)
RX/Chlorpheniramine (Chlotrimeton)
RX/Fexofenadine (Allegra)
RX/Levocetirizine (Xyzal)
RX/Loratadine (Claritin)
RX/Nasal corticosteroid
RX/Pseudoephedrine (Sudafed)
Other Treatments
TX/Allergy hyposensitization.
TX/Avoidance offending agents (indication).
Definition

A seasonal variety of allergic rhinitis, marked by acute conjunctivitis with lacrimation and itching, regarded as an allergic condition triggered by specific allergens; ---------------------------------seasonal occurrence of nasal pruritus, congestion, rhinorrhea, or paroxysms of sneezing, which may be associated with lower respiratory symptoms, eye erythema, pruritus, irritation, tearing, or eczematous dermatitis; Environmental aeroallergen exposure; Presence of specific-IgE antibody to tested aeroallergens; 40% of patients with allergic rhinitis also manifest lower respiratory symptoms: cough, wheezing, chest tightness, or dyspnea; The physical examination may reveal edematous or inflamed nasal mucosa; In severe cases, the affected mucosa may be pale, boggy, or blue-tinged from vascular engorgement and venous congestion; Nasal symptoms can be nonspecific, however, and the differential diagnosis can include viral rhinitis, bacterial sinusitis, vasomotor rhinitis, nasal polyposis, drug-induced rhinitis, hormonal rhinitis, rhinitis medicamentosa, atrophic rhinitis, gastroesophageal reflux, and systemic disorders such as thyroid disease or Wegener"s granulomatosis; Even a basic understanding of regional aeroallergen patterns and seasons can aid the clinician during the evaluation of patients presenting with acute or chronic rhinitis; Patients with moderate to severe disease, those who are potential candidates for allergen immunotherapy, and those with strong predisposing factors for atopic diatheses (eg, a strong family history of atopy or ongoing exposure to potential sources of allergen) should undergo testing; Since the development of rhinitis precedes the presentation of asthma in over 50% of cases, early intervention may decrease the risk of more severe clinical allergic disease;

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External Links Related to Rhinitis, allergic, seasonal
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NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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