Vasomotor Rhinitis

Vasomotor rhinitis is a common disorder that is seen routinely in allergy practice. It affects millions of Americans and results in significant morbidity. The pathophysiology of this complex heterogeneous disorder is unknown, but we are making advances in this regard. Symptoms and signs can closely...

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Bibliographic Details
Published in:Current allergy and asthma reports 2010-03, Vol.10 (2), p.84-91
Main Authors: Pattanaik, Debendra, Lieberman, Phillip
Format: Article
Language:English
Subjects:
Administration, Intranasal
Adrenal Cortex Hormones - therapeutic use
Allergology
Cholinergic Antagonists - therapeutic use
Diagnosis, Differential
Drug Therapy, Combination
Histamine H1 Antagonists, Non-Sedating - therapeutic use
Humans
Hypersensitivity - diagnosis
Hypersensitivity - drug therapy
Hypersensitivity - physiopathology
Medicine
Medicine & Public Health
Phthalazines - therapeutic use
Rhinitis, Vasomotor - diagnosis
Rhinitis, Vasomotor - drug therapy
Rhinitis, Vasomotor - epidemiology
Rhinitis, Vasomotor - physiopathology
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Summary:Vasomotor rhinitis is a common disorder that is seen routinely in allergy practice. It affects millions of Americans and results in significant morbidity. The pathophysiology of this complex heterogeneous disorder is unknown, but we are making advances in this regard. Symptoms and signs can closely resemble those of allergic rhinitis and can be difficult to differentiate from those resulting from allergy. A careful history, physical examination, and diagnostic testing help clinicians arrive at a definitive diagnosis, but treatment can be challenging. Therapy should be based on the presenting symptoms of vasomotor rhinitis. Combination therapy with topical corticosteroids and azelastine is useful. However, in patients whose predominant symptom is rhinorrhea, use of atopical anticholinergic agents can be quite useful. Up-to-date pathogenesis, epidemiology, diagnosis, and treatment approaches are discussed in this review.
ISSN:1529-7322
1534-6315
DOI:10.1007/s11882-010-0089-z