Expired CME Article

Rhinosinusitis

Authors: Richard D. deShazo, MD, Stephen F. Kemp, MD

Abstract

History, physical examination, and allergy testing may distinguish the syndromes of rhinitis, classified as allergic, infectious, perennial, nonallergic, and miscellaneous. All may be associated with sinusitis, probably on the basis of obstruction of the osteomeatal complex. Although topical nasal steroids are useful in the treatment of all forms of rhinitis, diagnosis of the offending type in a given patient is necessary for optimal management.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Ng ML, Warlow RS, Chrishanthan N, et al. Preliminary criteria for the definition of allergic rhinitis: A systematic evaluation of clinical parameters in a disease cohort (I). Clin Exp Allergy 2000; 30: 1314–1331.
 
2. Ng ML, Warlow RS, Chrishanthan N, et al. Preliminary criteria for the definition of allergic rhinitis: A systematic evaluation of clinical parameters in a disease cohort (II). Clin Exp Allergy 2000; 30: 1417–1422.
 
3. Dykewicz MS, Fineman S, Skoner DP, et al; American Academy of Allergy, Asthma, and Immunology. Diagnosis and management of rhinitis: Complete guidelines of the Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol 1998; 81: 478–518.
 
4. Boulet LP, Turcotte H, Laprise C, et al. Comparative degree and type of sensitization to common indoor and outdoor allergens in subjects with allergic rhinitis and/or asthma. Clin Exp Allergy 1997; 27: 52–59.
 
5. Craig TJ, Teets S, Lehman EB, et al. Nasal congestion secondary to allergic rhinitis as a cause of sleep disturbance and daytime fatigue and the response to topical nasal corticosteroids. J Allergy Clin Immunol 1998; 101: 633–637.
 
6. Adcock I. Role of mediators in late-phase allergic symptoms including congestion. Clin Exp All Rev 2002; 2: 85–87.
 
7. Montelukast (singulair) for allergic rhinitis. Med Lett Drugs Ther 2003Mar 17; 45: 21–22.
 
8. Lieberman PL, Blaiss MS. Atlas of Allergic Diseases. Philadelphia, Lippincott Williams & Wilkins, 2002.