- Home
- Medical books
- Pediatric pathology
- Paediatrics: Allergic rhinitis
Paediatrics: Allergic rhinitis
2021-03-04 12:00 AM
Up to 20% of the population have symptoms of allergic rhinitis, which include nasal congestion, itching, sneezing, and discharge.
Allergic rhinitis
Up to 20% of the population have symptoms of allergic rhinitis, which include nasal congestion, itching, sneezing, and discharge.
Diagnosis
History
- Identify the seasonality of the symptoms and history of atopy.
- Take a history of environmental exposures such as parental smoking, pets, dust mite, stuffed toys, carpet, bedding, etc.
Examination
Check for:
- mouth breathing;
- postnasal drip;
- cough;
- nose rubbing;
- suborbital venous congestion;
- watery-red eyes.
Investigation
- Skin tests for specific antigens.
- Specific serum IgE measurements.
Treatment
Allergen avoidance
- Dust covers on bedding.
- Avoid stuffed toys.
Symptom relief
- Antihistamines.
- Montelukast.
- Intranasal steroids