알레르기 비염과 비알레르기 비염의 감별 진단 및 관리: 병력 청취 및 진찰 소견에 대한 최신지견 중심으로
The Differential Diagnosis between Allergic and Nonallergic Rhinitis and Management : Focusing on Current update of Medical History and Physical Examination
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Objective : The purpose of this study is to summarize the differential diagnosis between allergic and nonallergicrhinitis and suggest management. Methods : We reviewed the current update of medical history and physical examination for allergic andnonallergic rhinitis. Then we analyzed clinical characteristics according to onset age, gender incidence and state ofnasal symptoms, etc. Results : 1. Patients with nonallergic rhinitis tend to develop symptoms at a later age(＞35 years of age), andthere is a female-to-male incidence ratio for nonallergic rhinitis of 2:1 to 3:1. 2. Patients with nonallergic rhinitis report nasal congestion, nasal rhinorrhea and more often reportpostnasal drip rather than sneezing and itching, which are predominant symptoms of allergicrhinitis. And the nasal mucosa in nonallergic rhinitis usually looks normal. 3. Patients with nonallergic rhinitis have few complaints of concomitant symptoms of allergic symptomsand the absence of other atopic diseases in the patient or in the family supports the diagnosis ofnonallergic rhinitis. 4. Common triggers of nonallergic rhinitis are nonspecific irritant exposures and many patients withnonallergic rhinitis find that antihistamines have no benefit. Conclusions : The differential diagnosis between allergic and nonallergic rhinitis is clinical and relies on adetailed medical history and physical examination.
Abstract
Objective : The purpose of this study is to summarize the differential diagnosis between allergic and nonallergicrhinitis and suggest management. Methods : We reviewed the current update of medical history and physical examination for allergic andnonallergic rhinitis. Then we analyzed clinical characteristics according to onset age, gender incidence and state ofnasal symptoms, etc. Results : 1. Patients with nonallergic rhinitis tend to develop symptoms at a later age(＞35 years of age), andthere is a female-to-male incidence ratio for nonallergic rhinitis of 2:1 to 3:1. 2. Patients with nonallergic rhinitis report nasal congestion, nasal rhinorrhea and more often reportpostnasal drip rather than sneezing and itching, which are predominant symptoms of allergicrhinitis. And the nasal mucosa in nonallergic rhinitis usually looks normal. 3. Patients with nonallergic rhinitis have few complaints of concomitant symptoms of allergic symptomsand the absence of other atopic diseases in the patient or in the family supports the diagnosis ofnonallergic rhinitis. 4. Common triggers of nonallergic rhinitis are nonspecific irritant exposures and many patients withnonallergic rhinitis find that antihistamines have no benefit. Conclusions : The differential diagnosis between allergic and nonallergic rhinitis is clinical and relies on adetailed medical history and physical examination.
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