Search
nonallergic vasomotor rhinitis
Etiology:
1) smoke
2) air pollution
3) perfumes
4) detergents & soaps
5) solvents or fumes
6) changes in temperature, light, or atmospheric pressure
- cold air
7) excercise
8) emotion
Clinical manifestations:
1) nasal congestion
2) clear rhinorrhea
3) postnasal discharge
4) sensitivity to irritants & temperature changes
5) perennial symptoms
Laboratory:
1) normal serum IgE
2) absence of nasal eosinophils
Management:
1) nasal ipratropium
- effective for rhinorrhea, but not for nasal congestion
2) nasal antihistamines &/or nasal glucocorticoids for nasal congestion in addition to rhinorrhea
3) oral decongestants (pseudoephedrine) older recommendation
4) nasal saline irrigation is an adjuvant therapy
Related
ipratropium (Atrovent)
pseudoephedrine (Sudafed, Afrin, Drixoral, SudoGest)
General
rhinitis
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998
- Schroer B, Pien LC.
Nonallergic rhinitis: common problem, chronic symptoms.
Cleve Clin J Med. 2012 Apr;79(4):285-93. Review.
PMID: 22473729