1、 ABy 余杰余杰 林明慧林明慧 A l l e r g i c r h i n i（ALLERGIC RHINITIS）1.Concept 2.Pathogenesis 3.Manifestation 4.Diagnosis 5.Treatment（A L L E R G I C R H I N I T I S）Concept of allergic rhinitis Allergic inflammation in nasal mucosa induced by IgE C o n c e p t o f a l l e r g i c r h i n i t i s Allergic r
2、hinitis pathogenesis A l l e r g i c r h i n i t i s p Clinical manifestationRhinocnesmusSneezeWatery rhinorrheaNasal obstruction C l i n i c a l mIncidental symptomItchyconjunctival congestion I n c i d e n t a l s y mp t o mcomplicationBronchitical asthmaBronchitical asthmaI Irritability sore rrit
3、ability sore throatthroatSecretory otitis Secretory otitis mediamediaSleeping respiratory Sleeping respiratory disorderdisordersyndrom syndrom c o mp l i c a t i o n B r o n c h i t i c a l a s t h mClassificationPersistent：Symptom4d/W，or Course of disease 4W。intermittent：Symptom4d/W，or Course of di
4、sease 4W；Duration of symptomsC l a s s i f i c a t i o n P e r s i s t e n t：i n t e rIndexing中-重度：症状明显或严重，对生活质量产生影响。mild moderate to advancedI n d e x i n g 中-重度：mi l d mo d e r aDiagnosis(2009)1.rhinocnesmus2.sneeze3.watery rhinorrhea4.nasal obstructionContinue 0.5-1h/d,4d/W。2Allergen specific IgE
5、 test PostiveOrSPT PostIve1 D i a g n o s i s (2 0 0 9)1.r h i n o c n e s mu s Immunization therapyMildMildIntermittentIntermittentMildMildPersistentPersistentModerate to severePersistentPersistent Disodium cromoglicateAvoid contact with allergen Glucocorticoid(In)H1-antihistamines(Po or In)and(or)Decongestant drug;LTRAGlucocorticoid(In)H1-antihistaminesLTRATreatment（2008 update）Moderate to severeIntermittentIntermittent Surgical therapy I mmu n i z aThank you!T h a n k y o u !
