Download presentation
Presentation is loading. Please wait.
1
RHINITIS Miss H. Babar-Craig
2
Rhinitis Two main types : 1. ALLERGIC RHINITIS
2. NON-ALLERGIC RHINITIS A. Eosinophilic B. Non-eosiniphilic
3
Allergic Rhinitis AETIOLOGY
Type 1 Ig E Hypersensitivity reaction in the mucous membranes of the nasal airways Can be seasonal or perennial ALLERGENS Pollens, moulds , house dust mite, animal epithelia
4
Lateral Nasal Anatomy
5
Allergic Rhinitis CLINICAL FEATURES : 1. Rhinorrhoea, anterior or PND
2. Nasal irritation, itching, vestibulitis 3. Sneezing, ichy watery eyes 4. Allergic Salute Sign 5. Long term nasal obstruction, anosmia, polyps SAMTER’S Triad Aspirin allergy, asthma, polyps
6
Allergic Rhinitis
7
Allergic Rhinitis Investigations :
1. Allergy tests, skin prick, blood RAST tests 2. CT sinuses only if sinusitis or polyps.
8
Allergic Rhinitis Management : 1. Avoidance, dust/allergy advice sheet
2. Antihistamines 3. Topical Steroid Sprays – nasonex, flixonase 4. Oral steroids 5. Surgical – Submucous diathermy Turbinate reduction
9
Non-Allergic Rhinitis
Two types 1. Eosinophilic 2. Non-eosinophilic Also known as intrinsic of non-infective Nasal secretions may or may not contain numbers of eosinophils
10
Non-Allergic Rhinitis
Predisposing Factors : 1. Family history 2. Preceding infection, leading to mucosal hypersensitivity. 3. Psychological, emotional factors 4. Endocrine, pregnancy, menstruation 5. Pollution, fumes, industrial agents, smoke 6. Smoking, alcohol
11
Non-Allergic Rhinitis
Clinical Features : 1. Older age, perennial 2. Nasal obstruction 3. Rhinorrhoea 4. Polyps, anosmia 5. Sinusitis more common
12
Non-Allergic Rhinitis
Management: 1. Antibiotics 2. Nasal steroids 3. Nasal decongestion eg ephedrine, otrivine 4. Surgical – Septoplasty - Submucous diathermy - Turbinate Reduction - FESS
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.