An overview of rhinitis
- David Peden, MD
David Peden, MD
- Harry S. Andrews Distinguished Professor of Pediatrics
- The University of North Carolina at Chapel Hill
INTRODUCTION AND DEFINITION
Rhinitis is common, affecting nearly everyone at one time or another. This topic provides an overview of the various types of acute and chronic rhinitis that are most common among adults and children. Rhinitis caused by viral respiratory infection is usually self-evident and is presented separately. (See "Epidemiology, clinical manifestations, and pathogenesis of rhinovirus infections" and "The common cold in adults: Diagnosis and clinical features".)
There are multiple causes of rhinitis (table 1). Different syndromes are recognized mainly by clinical history, patterns of symptoms, and to a lesser extent, physical signs.
Definition — Rhinitis is the presence of one or more of the following nasal symptoms:
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- INTRODUCTION AND DEFINITION
- Most common forms
- SPECIFIC DISORDERS
- Allergic rhinitis
- Nonallergic rhinitis
- Mixed rhinitis
- Occupational rhinitis
- Other causes of rhinitis
- - Nasal decongestant sprays
- - CPAP-rhinitis
- - Intranasal cocaine use
- - Systemic medications
- - Rhinitis of pregnancy
- - Atrophic rhinitis
- - Systemic diseases
- DIFFERENTIAL DIAGNOSIS
- Disorders causing prominent nasal obstruction
- - Structural abnormalities
- Disorders of acid reflux
- - Nasal tumors
- Cerebral spinal fluid rhinorrhea
- NORMAL NASAL REFLEXES
- INFORMATION FOR PATIENTS