Korean J Med.  2013 Nov;85(5):452-456.

Diagnosis of Allergic Rhinitis

• Koh YI

Abstract

Rhinitis is divided into allergic and non-allergic rhinitis. Non-allergic rhinitis includes inflammatory rhinitis, such as non-allergic rhinitis with eosinophilia syndrome (NARES) and infective rhinitis, and non-inflammatory rhinitis, such as vasomotor rhinitis and idiopathic rhinitis. Allergic rhinitis is diagnosed based on the presence of allergen-specific IgE and the documentation of relationship between the allergen and symptoms in patients with typical rhinitis symptoms, such as rhinorrhea, nasal obstruction, itchiness and/or sneezing. Local allergic rhinitis can be considered for differential diagnosis. Allergic rhinitis should be differentiated from non-allergic rhinitis by using skin prick test, serum specific IgE test, nasal cytology and/or allergen nasal provocation test. Allergic rhinitis should be differentiated from structural nasal diseases, such as septal deviation and nasal polyps. Rhinitis is frequently accompanied by paranasal sinusitis, which should be recognized in clinical practice. Management strategies differ between allergic and nonallergic rhinitis. In addition to pharmacotherapy, allergen avoidance and allergen-specific immunotherapy can be tried in patients with allergic rhinitis. Thus, the exact diagnosis is very important for the effective treatment in allergic rhinitis. The diagnostic tests for allergic rhinitis are reviewed.

Keyword

Allergic rhinitis; Diagnosis; Skin test

MeSH Terms

Cell Biology
Diagnosis*
Diagnosis, Differential
Diagnostic Tests, Routine
Drug Therapy
Eosinophilia
Humans
Immunoglobulin E
Immunotherapy
Nasal Obstruction
Nasal Polyps
Nasal Provocation Tests
Nose Diseases
Rhinitis*
Rhinitis, Allergic, Perennial
Rhinitis, Vasomotor
Sinusitis
Skin
Skin Tests
Sneezing
Immunoglobulin E