Vasomotor Rhinitis英文电子书.pdf

Curr Allergy Asthma Rep (2010) 10:84–91 DOI 10.1007/s11882-010-0089-z Vasomotor Rhinitis Debendra Pattanaik Phillip Lieberman Published online: 23 February 2010 # Springer Science+Business Media, LLC 2010 Abstract Vasomotor rhinitis is a common disorder that is seen mechanism is not clearly established, and the symptoms are routinely in allergy practice. It affects millions of Americans variable. Several other terms have been used to describe and results in significant morbidity. The pathophysiology of this condition, including nonallergic idiopathic rhinitis; this complex heterogeneous disorder is unknown, but we are nonallergic, noninfectious rhinitis; and intrinsic rhinitis. 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 Definition history, physical examination, and diagnostic testing help clinicians arrive at a definitive diagnosis, but treatment can be Vasomotor rhinitis is best defined by the presence of challenging. Therapy should be based on the presenting chronic symptoms of rhinitis (eg, sneezing, rhinorrhea, symptoms of vasomotor rhinitis. Combination therapy with nasal congestion, and postnasal drainage) in the absence of topical corticosteroids and azelastine is useful. However, in specific immunologic, infectious, pharmacologic, structural, patients whose predominant symptom is rhinorrhea, use of hormonal, vasculitic, metabolic, or atrophic causes. It is atopical anticholinergic agents can be quite useful. Up-to-date usually not associated with nasal eosinophilia [2••]. Studies pathogenesis, epidemiology, diagnosis, and treatment have noted that the symptoms must be present for at least approaches are