perennial rhinitis
Introduction
Introduction to perennial rhinitis The disease is non-seasonal rhinitis and may or may not be allergic, sometimes complicated by sinusitis, nasal polyps, or sensitive to aspirin and other non-steroidal anti-inflammatory drugs. basic knowledge The proportion of illness: 0.34% Susceptible people: no specific population Mode of infection: non-infectious Complications: sinusitis, nasal polyps, eustachian tube obstruction
Cause
Perennial rhinitis cause
Perennial rhinitis can occur at any age, both men and women, easy to see in young people, the main reasons are: (1) inhalation allergens: such as indoor and outdoor dust, dust mites, fungi, animal skin, feathers, cotton floc, etc. , causing perennial seizures; plant pollen caused by seasonal attacks. (2) Food allergens: such as fish and shrimp, eggs, milk, flour, peanuts, soybeans, etc. In particular, certain drugs, such as sulfonamides, quinine, antibiotics, etc., can cause disease. (3) Contact materials such as cosmetics, gasoline, paint, alcohol, etc. Others may be certain bacteria and their toxins, physical factors (such as cold and heat changes, temperature is not adjusted), endocrine disorders or body fluid acid-base balance disorders can cause disease. It can also be present simultaneously or sequentially due to a variety of factors.
Prevention
Perennial rhinitis prevention
1. Regularly participate in physical exercise to increase resistance.
2, be careful not to suddenly enter the environment of hot and cold disparity.
3, often do nasal massage, such as long-term use of cold water to wash the face is better.
4. Those who have known allergens try to avoid contact.
5, during the attack, you should pay attention to keep warm.
6, before the arrogance, anxious massage Yingxiang point, massage to the place when the fever is the degree.
Complication
Perennial rhinitis complications Complications Sinusitis Nasal polyps Eustachian tube obstruction
Sometimes complicated with sinusitis, nasal polyps; chronic nasal congestion is often obvious, and can develop eustachian tube obstruction, the result is hearing loss, especially in children.
Symptom
Perennial rhinitis symptoms Common symptoms Increased nasal secretions on the underside when lying on the side... Back sucking blood stasis, polyp, nasal pain, hearing loss
Symptoms can vary depending on the time and amount of contact with the stimuli and the patient's response to the body. Perennial allergic rhinitis can occur at any time, when it is light or heavy, or gradually relieved after every morning when getting up. It is usually easy to develop in winter, and often coexists with other allergic diseases in the body. Seasonal allergic rhinitis, a seasonal episode, mostly in spring and autumn, rapid onset of symptoms, the onset time can be several hours, several days to several weeks, the seizure period is completely normal. Typical symptoms are nasal itching, continuous episodes of paroxysmal sneezing, large amounts of watery nose and stuffy nose. The specific performance is as follows: (1) nasal itching and continuous sneezing often have several paroxysmal episodes every day, followed by nasal congestion and salivation, especially in the morning and night. Itchy nose is seen in most patients, sometimes itchy outside the nose, soft palate, face and external auditory canal, seasonal itching is more obvious. (2) A large amount of clear watery nasal discharge, but when the acute reaction tends to weaken or disappear, it can be reduced or thickened, and if it is secondary infection, it can become a pus-like secretion. (3) The degree of nasal congestion varies from one to side or from both sides, intermittent or continuous, and may also be alternating. (D) olfactory disorders caused by mucosal edema, nasal congestion, mostly temporary. Caused by persistent atrophy of the mucosa leading to olfactory atrophy, mostly persistent.
Examine
Perennial rhinitis examination
According to the history of atopic disease, the nasal mucosa is typically purplish red, the nasal secretions contain a large number of eosinophils, and the skin test is positive (mainly dust mites, mites, animal dander and fungi).
1. Nasal endoscopy: pus can be seen in the nasal cavity, nasal mucosa congestion and edema.
2. Position drainage: If suspected of sinusitis, no pus is found in the nasal passages, and a postural drainage test can be performed to aid diagnosis.
3. X-ray sinus film: X-ray nasal and nasal position film is helpful for diagnosis. In acute sinusitis, the sinus mucosa can be swollen, the sinus cavity is cloudy, the transmittance is weakened, and sometimes the liquid level is visible. Due to the overlapping of the skull, the observation effect is not good.
4. CT: visible fluid level or soft tissue density in the sinus. Because of its high resolution, CT has a more detailed and comprehensive observation of lesions, which is a good indicator for the diagnosis of rhinitis.
5. MRI: The long T2 signal in the sinus can be seen.
Diagnosis
Diagnosis and identification of perennial rhinitis
diagnosis
Diagnosis can be made based on medical history, clinical presentation and laboratory data.
Differential diagnosis
Some patients have chronic rhinitis, sinusitis and nasal polyps and negative skin test, a large number of eosinophils in the nasal secretions, called eosinophilic non-allergic rhinitis or non-allergic rhinitis with acidophilia Granulocyte growth, these diseases are not atopic, but often sensitive to aspirin and other non-steroidal anti-inflammatory drugs, a class of patients only suffer from chronic rhinitis.
Some patients suffer from vasomotor rhinitis, manifested as mild but annoying chronic persistent rhinitis, or salivation, they have no variability, no nasal polyps, infection, eosinophilia or drug allergy, and a group of patients There is rhinitis (drug rhinitis) due to excessive application of a locally decongested drug (-adrenergic).
