1. ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS
MSD
Be well

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

3. 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

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

5. 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

6. 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.

7. 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

8. Thank You