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Non-allergic Rhinitis

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Allergy Frontiers: Clinical Manifestations

Part of the book series: Allergy Frontiers ((ALLERGY,volume 3))

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Abstract

Nonallergic rhinitis comprises a variety of conditions, only some of which are inflammatory. Careful history-taking (including any symptom relationship to occupation), endoscopic nasal, chest and general examination plus relevant tests are needed to categorize the patient as far as possible in order to determine treatment. Those with eosinophilic secretions respond to topical intranasal corticosteroids. When known causes (infectious, hormonal, drug-induced, secondary to gastro-oesophageal reflux, etc.) are excluded there remains a third of patients with unexplained “idiopathic rhinitis” which is probably largely neurogenic, but as yet ill understood. The term vasomotor rhinitis is misleading and should be abandoned as vascular changes are not involved and the phenomenon of nasal mucosal hyper- reactivity occurs in allergic as well as nonallergic rhinitis.

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Authors and Affiliations

  1. Consultant Allergist and Rhinologist, Royal National TNE Hospital, London, UK

    Glenis K. Scadding

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  1. Glenis K. Scadding
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  1. Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan

    Ruby Pawankar

  2. Southampton General Hospital, University of Southampton, Tremona Road, Southampton, UK

    Stephen T. Holgate

  3. Childrens's Mercy Hospital and Clinic, UMKC School of Medicine, 2401 Gillham Road, Kansas City, MO, 64108, USA

    Lanny J. Rosenwasser

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Scadding, G.K. (2009). Non-allergic Rhinitis. In: Pawankar, R., Holgate, S.T., Rosenwasser, L.J. (eds) Allergy Frontiers: Clinical Manifestations. Allergy Frontiers, vol 3. Springer, Tokyo. https://doi.org/10.1007/978-4-431-88317-3_3

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