by Dr.Shwan m.taib best way of getting information in a summarized informative determined slides

4. Allergic Shiners

6. Allergic rhinitis
 A clinical hypersensitivity of nasal mucosa to allergen
exposure leading to an IgE mediated reaction

7. prevalence
 A common disease
 10-20 % of general population( 4-45% middle east)
 Higher in children and adolecsents
 Co morbidities : Alleric conjuctivitis , Bronchial
Asthma

9. Presentation
1- anterior or posterior rhinorrhea
2-Sneezing
3-nasal itching
4-nasal blockage
5-others : itchy and red eyes, loss of smelling, chronic
cough

11. Unusually with allergic rhinitis
1-unilateral symptoms
2-mucopurulent discharge
3-epistaxis
4- pain

12. Common Allergens
 Indoor : house dust mite , cockroaches, moulds ,
cats,dogs and other furry animals
 Outdoor: pollens (grass, trees..)

13. DDX of rhinorrhea and nasal
blockage
 Allergic rhinitis
 Non allergic rhinits
 Infectious rhinitis
 Granulomatous rhinitis
 Drug-induced rhinitis: OCPs. B-blockers(eye
drops),topical decongestants,hydralazine
 Mechanical obstruction: septal deviation,foreighn
bodies,choanal atresia(unilateral)
 Neoplastic rhinitis

17. Surgery
 Reduce size of inferior turbinates
 Correction of septal devaition
 Functional endoscopic sinus surgery: allergy
associated chronic rhinitis or cutting uncinate process
to decrease postnasal discharge