Allergicrhinitis.ClinicalfeaturesItchingmayalso involveeyes,plateorpharynx.Some may get bronchospasm. The duration andseverity of symptoms may vary with the season.Symptomsofperennial allergy arenotso seversso that of season type.They include frequentcolds,persistently stuffy nose,loss ofsense ofsmell due to mucosal oedema,postnasal dripchronic cough and hearing impairment due toeustachian tubeblockage orfluid in the middleear
Allergic rhinitis • Clinical features Itching may also involve eyes, plate or pharynx . Some may get bronchospasm. The duration and severity of symptoms may vary with the season. Symptoms of perennial allergy are not so severs so that of season type. They include frequent colds, persistently stuffy nose, loss of sense of smell due to mucosal oedema, postnasal drip. chronic cough and hearing impairment due to eustachian tube blockage or fluid in the middle ear
Allergic rhinitis·ClinicalfeaturesNasalsigns includetransversenasalcrease,paleand oedematous nasalmucosawhich may appearbluish.Turbinates are swollen.Thin,watery ormucoiddischargeusuallypresent
Allergic rhinitis • Clinical features Nasal signs include transverse nasal crease,pale and oedematous nasal mucosa which may appear bluish. Turbinates are swollen. Thin , watery or mucoid discharge usually present
Allergicrhinitis·ClinicalfeaturesOcularsignsincludeoedemaof lids,congestionand cobble-stoneappearanceof theconjunctiva,dark circlesundertheeyes.Otologicsigns includeretractedtympanicmembraneor serous otitis media
Allergic rhinitis • Clinical features Ocular signs include oedema of lids , congestion and cobble-stone appearance of the conjunctiva, dark circles under the eyes. Otologic signs include retracted tympanic membrane or serous otitis media
Allergic rhinitis·ClinicalfeaturesPharyngeal signs:granularpharyngitisLaryngeal signs include hoarseness of voiceandoedema of the vocal cords
Allergic rhinitis • Clinical features Pharyngeal signs :granular pharyngitis. Laryngeal signs include hoarseness of voice and oedema of the vocal cords
Allergicrhinitis·DiagnosisAdetailed history and physical examinationis helpful,and also gives clues to thepossibleallergen.Other cause of nasalstuffinessshouldbeexcluded
Allergic rhinitis • Diagnosis A detailed history and physical examination is helpful, and also gives clues to the possible allergen. Other cause of nasal stuffiness should be excluded