ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD Be well

CLASSIFICATION OF RHINITIS OTHER,INCLUDES EOSINOPHILIC STRUCTURAL AUTONOMIC HORMONAL DRUG-INDUCED ATROPIC ALLERGIC SEASONAL PERENNIAL OCCUPATIONAL INFECTIVE ACUTE CHRONIC

Classifications of allergic rhinitis Intermittent (seasonal - acute - occasional) Occasional symptoms lasting <four days per week or ≤ four weeks Persistent (perennial - chronic - long duration) Symptoms lasting > four days per week and > four weeks

New classification of allergic rhinitis: Severity - ARIA Mild Normal sleep Normal daily activities, sport, leisure Normal work and school No troublesome symptoms

New classification of allergic rhinitis: Severity - ARIA Moderate - Severe Abnormal sleep Impairment of daily activities, sport, leisure Problems caused at work or school Troublesome symptoms 2007

Allergic Rhinitis Interrelationships Between Allergic Rhinitis and Associated Airway Diseases Upper Respiratory Infection Allergic Rhinitis Otitis Media With Effusion Nasal Polyposis Asthma Sinusitis Epidemiologic studies have shown that up to 78% of patients with asthma have nasal symptoms and that rhinitis is a nearly universal phenomenon in patients with allergic asthma. Adapted from Spector SL. J Allergy Clin Immunol, 1997.

Treatment of allergic rhinitis (ARIA) Allergic Rhinitis and its Impact on Asthma moderate severe persistent mild persistent moderate severe intermittent mild intermittent intra-nasal steroid local cromone oral or local non-sedative H1-blocker intra-nasal decongestant (<10 days) or oral decongestant allergen and irritant avoidance immunotherapy

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