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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Wednesday, March 10, 2010
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Wednesday, March 10, 2010
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Allergies |
Non-allergic rhinitis08/19/2004 |
If a person has had all three levels of skin testing for allergies and the results were virtually negative are they then diagnosed with non-allergic rhinitis? What is the general treatment for this? Is there any further testing that can be done? Thank you.
Negative skin test results rule out or exclude allergy with a high degree of certainty. Non-allergic rhinitis is diagnosed in the absence of any other underlying cause of nasal symptoms. One should investigate for sinusitis, occupational causes, other inflammatory conditions of the nose ,etc. In the absence of the latter conditions, vasomotor non-allergic rhinitis is likely.
The most effective treatment are long acting oral decongestants (pseudoephedrine) taken regularly. Nasal sprays including atrovent and astelin are also indicated in non-allergic rhinitis. Anti-histamines and nasal steroids are seldom effective.
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David I. Bernstein, MD Professor of Medicine Division of Immunology and Allergy Department of Internal Medicine College of Medicine University of Cincinnati |
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