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ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS. MSD Be well. CLASSIFICATION OF RHINITIS. RHINITIS. OTHER,INCLUDES EOSINOPHILIC STRUCTURAL AUTONOMIC HORMONAL DRUG-INDUCED ATROPIC. ALLERGIC SEASONAL PERENNIAL OCCUPATIONAL. INFECTIVE ACUTE CHRONIC.
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ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD Be well
CLASSIFICATION OF RHINITIS 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
2007 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
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 asthmahave nasal symptoms and that rhinitis is a nearly universal phenomenonin 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