Topic 10 of 18 in the MU Plovdiv syllabus for Otorhinolaryngology (Medicine, Year 4). The free AceMed note covers it in 25 sections, about 4,521 words (31 min of reading), with 48 flashcards.
In this note
10. Allergic Rhinitis. Nasal polyposis.
Neoplasms of the Nose and Paranasal Sinuses.
Allergic Rhinitis:
Classification:
Predisposing Factors:
Symptoms
Diagnosis
Treatment:
Nasal polyposis
Neoplasms of nose and paranasal sinuses
Neoplasm of the Nose and Paranasal Sinuses
Acute Rhinosinusitis. Allergic Rhinitis,
Clinical Picture Major Symptoms
Paraclinical and Radiological Examinations
Treatment Options
Possible Complications - often from the spread of infection through the thin bone walls of the ethmoid/frontal sinuses:
Differential Diagnosis
Allergic Rhinitis (AR)
Etiopathogenesis
Classification
Clinical Picture
Possible Complications
Chronic rhinosinusitis with or without polyps. Odontogenic sinusitis.
Chronic Rhinosinusitis (CRS)
Odontogenic Sinusitis (OS)
Tumors of the nasal cavity and sinuses.
Allergic Rhinitis:
IgE mediated hypersensitivity of nasal mucosa due to exposure to allergens
Classification:
ARIA – Guidelines
According to type
Seasonal (hay-fever):
Response to seasonal allergen
ex.pollen
Perennial:
Response to year-round allergen
ex. dust, mold, mites etc
Episodic:
Response to abnormal allergen
ex.friends pet
By duration:
Acute
7 days - 4weeks
Subacute
> 4 weeks but < 12 weeks
Recurrent acute
4 + episodes / year
Chronic
> 12 weeks or more
Predisposing Factors:
Genetics and family history – atopy 5q, 11q, 12q and chromosome 13, japanese population
Environment – lifestyle changes and increased exposure to allergen, pollution, developed countries. dietary modifications leading to reduction in Th-1 type immune response and stress
