Vasomotor rhinitis - PubMed (original) (raw)
Review
. 2005 Sep 15;72(6):1057-62.
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- PMID: 16190503
Free article
Review
Vasomotor rhinitis
Patricia W Wheeler et al. Am Fam Physician. 2005.
Free article
Abstract
Vasomotor rhinitis affects millions of Americans and results in significant symptomatology. Characterized by a combination of symptoms that includes nasal obstruction and rhinorrhea, vasomotor rhinitis is a diagnosis of exclusion reached after taking a careful history, performing a physical examination, and, in select cases, testing the patient with known allergens. According to a 2002 evidence report published by the Agency for Healthcare Research and Quality (AHRQ), there is insufficient evidence to reliably differentiate between allergic and nonallergic rhinitis based on signs and symptoms alone. The minimum level of diagnostic testing needed to differentiate between the two types of rhinitis also has not been established. An algorithm is presented that is based on a targeted history and physical examination and a stepwise approach to management that reflects the AHRQ evidence report and U.S. Food and Drug Administration approvals. Specific approaches to the management of rhinitis in children, athletes, pregnant women, and older adults are discussed.
Comment in
- Diagnosing allergic rhinitis: skin test vs. IgE testing.
Fromer L. Fromer L. Am Fam Physician. 2006 May 1;73(9):1517. Am Fam Physician. 2006. PMID: 16719243 No abstract available.
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