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An overview of rhinitis

David Peden, MD
Section Editor
Jonathan Corren, MD
Deputy Editor
Anna M Feldweg, MD


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:


Rhinorrhea (anterior and/or posterior)

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Literature review current through: Nov 2017. | This topic last updated: Dec 15, 2016.
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  1. Wallace DV, Dykewicz MS, Bernstein DI, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 2008; 122:S1.
  2. Meltzer EO, Nathan R, Derebery J, et al. Sleep, quality of life, and productivity impact of nasal symptoms in the United States: findings from the Burden of Rhinitis in America survey. Allergy Asthma Proc 2009; 30:244.
  3. Bousquet J, Van Cauwenberge P, Khaltaev N, et al. Allergic rhinitis and its impact on asthma. J Allergy Clin Immunol 2001; 108:S147.
  4. Brozek JL, Bousquet J, Baena-Cagnani CE, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol 2010; 126:466.
  5. Brandt D, Bernstein JA. Questionnaire evaluation and risk factor identification for nonallergic vasomotor rhinitis. Ann Allergy Asthma Immunol 2006; 96:526.
  6. Kaliner MA. The treatment of vasomotor nonallergic rhinitis. Clin Allergy Immunol 2007; 19:351.
  7. Raphael G, Raphael MH, Kaliner M. Gustatory rhinitis: a syndrome of food-induced rhinorrhea. J Allergy Clin Immunol 1989; 83:110.
  8. Gautrin D, Desrosiers M, Castano R. Occupational rhinitis. Curr Opin Allergy Clin Immunol 2006; 6:77.
  9. Hellgren J, Karlsson G, Torén K. The dilemma of occupational rhinitis: management options. Am J Respir Med 2003; 2:333.
  10. Vaidyanathan S, Williamson P, Clearie K, et al. Fluticasone reverses oxymetazoline-induced tachyphylaxis of response and rebound congestion. Am J Respir Crit Care Med 2010; 182:19.
  11. Strobel W, Schlageter M, Andersson M, et al. Topical nasal steroid treatment does not improve CPAP compliance in unselected patients with OSAS. Respir Med 2011; 105:310.
  12. Varghese M, Glaum MC, Lockey RF. Drug-induced rhinitis. Clin Exp Allergy 2010; 40:381.
  13. Bachert C. Persistent rhinitis - allergic or nonallergic? Allergy 2004; 59 Suppl 76:11.
  14. Macsali F, Real FG, Omenaas ER, et al. Oral contraception, body mass index, and asthma: a cross-sectional Nordic-Baltic population survey. J Allergy Clin Immunol 2009; 123:391.
  15. Wild DC, Philpott CM, Wolstenholme CR, Murty GE. Does hormone replacement therapy in post-menopausal women have any effect upon nasal physiology? J Laryngol Otol 2008; 122:707.
  16. Gómez Real F, Svanes C, Björnsson EH, et al. Hormone replacement therapy, body mass index and asthma in perimenopausal women: a cross sectional survey. Thorax 2006; 61:34.
  17. Stübner UP, Gruber D, Berger UE, et al. The influence of female sex hormones on nasal reactivity in seasonal allergic rhinitis. Allergy 1999; 54:865.
  18. Philpott CM, El-Alami M, Murty GE. The effect of the steroid sex hormones on the nasal airway during the normal menstrual cycle. Clin Otolaryngol Allied Sci 2004; 29:138.
  19. Ellegård EK. Pregnancy rhinitis. Immunol Allergy Clin North Am 2006; 26:119.
  20. Ellegård E, Hellgren M, Torén K, Karlsson G. The incidence of pregnancy rhinitis. Gynecol Obstet Invest 2000; 49:98.
  21. Baraniuk JN, Kim D. Nasonasal reflexes, the nasal cycle, and sneeze. Curr Allergy Asthma Rep 2007; 7:105.
  22. Teebi AS, al-Saleh QA. Autosomal dominant sneezing disorder provoked by fullness of stomach. J Med Genet 1989; 26:539.
  23. Forrai G, Antal J, Balogh A. Sneezy twins. Acta Paediatr Hung 1985; 26:323.
  24. Bhutta MF, Maxwell H. Sneezing induced by sexual ideation or orgasm: an under-reported phenomenon. J R Soc Med 2008; 101:587.