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ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD Be well.

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Presentation on theme: "ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD Be well."— Presentation transcript:

1 ARIA QUIDELINES ON MANAGEMENT OF ALLERGIC RHINITIS MSD Be well

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

3 Classifications of allergic rhinitis Intermittent (seasonal - acute - occasional) Occasional symptoms lasting four days per week and > four weeks

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

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

6 Allergic Rhinitis Upper Respiratory Infection Nasal Polyposis SinusitisAsthma Otitis Media With Effusion Interrelationships Between Allergic Rhinitis and Associated Airway Diseases Interrelationships Between Allergic Rhinitis and Associated Airway Diseases 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.

7 Treatment of allergic rhinitis (ARIA) Allergic Rhinitis and its Impact on Asthma mild intermittent mild persistent moderate severe intermittent moderate severe persistent allergen and irritant avoidance immunotherapy intra-nasal decongestant (<10 days) or oral decongestant local cromone intra-nasal steroid oral or local non-sedative H1-blocker

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