n CME : Your SA Journal of CPD - Allergic rhinosinusitis in children : main topic




Allergic rhinitis is a hypersensitivity reaction initiated by immunological mechanisms. <br>Sinusitis is mediated by the same mechanism or it is induced by viral inflammations. <br>Allergic rhinosinusitis is now classified as IgE-mediated rhinosinusitis or as non-IgE-mediated allergic rhinosinusitis. <br>Use the terms 'intermittent' or 'persistent' instead of 'seasonal' or 'perennial'. <br>The main symptoms of blocked nose and postnasal drip may be severe with sequelae. Other symptoms of allergy are milder than in the acute phase. <br>Phadiotop, Fx5, skin-prick test and ECP are essential. <br>A CT scan of the sinuses is essential for the proper management of severe cases or if medical treatment has failed. <br>The mainstay of medical treatment is an intranasal steroid and an oral second-generation H 1 -receptor blocker that has an anti-inflammatory effect at normal doses. <br>Diet and nutrition and the environment should be evaluated in every case. <br>Consider other possible causes if treatment fails. <br>An endoscopic evaluation of the nose, sinuses and nasopharynx is valuable in difficult or refractory cases. <br>Minor surgical procedures have a synergistic effect when combined with the conventional treatments in difficult cases.


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