ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD

ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD Be well

CLASSIFICATION OF RHINITIS ALLERGIC • SEASONAL • PERENNIAL • OCCUPATIONAL INFECTIVE • ACUTE • CHRONIC OTHER, INCLUDES • EOSINOPHILIC • STRUCTURAL • AUTONOMIC • HORMONAL • DRUG-INDUCED • ATROPIC

Classifications of allergic rhinitis • Intermittent (seasonal - acute - occasional) • Occasional symptoms lasting <four days per week or ≤ four weeks • Persistent (perennial - chronic - long duration) • Symptoms lasting > four days per week and > four weeks

New classification of allergic rhinitis: Severity - ARIA • Mild • Normal sleep • Normal daily activities, sport, leisure • Normal work and school • No troublesome symptoms

New classification of allergic rhinitis: Severity - ARIA • Moderate - Severe • Abnormal sleep • Impairment of daily activities, sport, leisure • Problems caused at work or school • Troublesome symptoms 2007

Interrelationships Between Allergic Rhinitis and Associated Airway Diseases Upper Respiratory Infection Otitis Media With Effusion Allergic Rhinitis Asthma Nasal Polyposis Sinusitis Epidemiologic studies have shown that up to 78% of patients with asthma have nasal symptoms and that rhinitis is a nearly universal phenomenon in patients with allergic asthma. Adapted from Spector SL. J Allergy Clin Immunol, 1997.

Treatment of allergic rhinitis (ARIA) Allergic Rhinitis and its Impact on Asthma mild intermittent moderate severe intermittent mild persistent moderate severe persistent intra-nasal steroid local cromone oral or local non-sedative H 1 -blocker intra-nasal decongestant (<10 days) or oral decongestant allergen and irritant avoidance immunotherapy