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Rhinitis: Chronic Rhinitis
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rhinitis Rhinitis is a condition that gives people a chronic runny or stuffy nose throughout the year. It is ... called non-allergic rhinitis, because the drip and stuffiness are not caused by hay fever or other allergic causes. Another name for it is vasomotor rhinitis, which refers to the extreme response of the nasal lining to irritations. Rhinitis causes the lining of the nose to swell when the blood vessels expand. This swelling results in a congested and dripping nose. Rhinitis affects both children and adults.
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Allergic rhinitis Chronic Rhinitis . When rhinitis lasts for a longer period, the condition is called chronic rhinitis. Allergies are often the cause, but structural problems or chronic infections could ... be to blame.
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The problem with allergies such as Hay fever and Allergic Rhinitis is that it is considered to be a trivial and inconsequential disease. Symptoms such as runny nose, itchy eyes and nose with sneezing and blockage are obviously not life threatening, but affect up to 25% of the population and are the cause of significant disability and cost to society. Patients may ... experience fatigue, irritability, as well as mood, cognitive and sleep disturbance in addition to the nasal, ocular and throat symptoms. Allergic rhinitis has important co-morbid associations such as chronic sinusitis, glue ear, asthma exacerbations, nasal polyps, sleep apnoea and dental malocclusion.
AERIUS [NEOCLARITYN] (desloratadine) is a nonsedating prescriptionantihistamine for the treatment of symptoms associated with allergic rhinitis(including intermittent and persistent allergic rhinitis) and chronicidiopathic urticaria (CIU), or hives of unknown cause. According to newclassification of the labeling, AERIUS Tablets and AERIUS Syrup is nowapproved to treat symptoms of allergic rhinitis (including intermittent andpersistent allergic rhinitis), in patients 12 years of age and older andpatients 1 year of age and older, respectively.(3)
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Steroid sprays applied directly to the nasal membranes have revolutionised the treatment of allergic rhinitis - particularly the chronic perennial type. They control the underlying chronic inflammatory process and therefore are the treatment of choice in most patients. These preparations are safe to use for prolonged periods of time at the recommended dosages. They act on various components of the nasal inflammatory process, causing blood vessel contraction, reducing blood vessel leakiness and reducing inflammatory cell numbers. Nasal steroids such as Flunisolide (Syntaris), Budesonide (Rhinocort Aqua) and Beclomethasone (Beconase) are particularly useful for their preventative effects and newer preparations such as Fluticasone (Flixonase), Triamcinolone (Nasacort) and Mometasone (Nasonex) can be used effectively on a once daily basis
Allergic rhinitis is an IgE mediated inflammatory disease of the nasal mucosa. IgE antibodies are attached to mast cells near mucosal surfaces. When the individual comes into contact with airborne allergens, the mast cells release chemical mediators histamine, leukotrienes, kinins, and prostaglandins. These substances cause the reactions that lead to the allergic symptoms. The initial response is followed by a late chronic inflammatory phase characterized by proliferation of mast cells, and invasion of the mucosa by eosinophiles, basophiles, and the proliferation of lymphocytes. This inflammatory response causes the increased sensitivity to non-specific stimuli like smoke, strong odors, and insecticides.
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