Abstract: . . .  provide modest benefit; and nasal antihistamines provide only lit- tle or minimal benefit. Exercise 5 List the four principles recommended to guide the clinical man- agement of allergic rhinitis . Answer: Guidelines proposed by the Allergic Rhinitis and its Impact on Asthma Initiative for the management of allergic rhini- tis include minimizing exposure to allergens, preventing and relieving allergy symptoms with pharmacologic agents, altering the immune response with immunotherapy, and working with the patient during all phases of treatment to educate and encourage allergen avoidance.  . . .
. . .  Guidelines proposed by the Allergic Rhinitis and its Impact on Asthma Initiative for the management of allergic rhini- tis include minimizing exposure to allergens, preventing and relieving allergy symptoms with pharmacologic agents, altering the immune response with immunotherapy, and working with the patient during all phases of treatment to educate and encourage allergen avoidance.  . . .
. . .  workdays and 5 million missed school days. 2 A recent survey estimated high productivity losses ranging from $2.4 billion to $4.6 bil- lion. 8 This survey also showed that these productivity losses did not result from absenteeism, but from reduced at-work productivity associ- ated with the use of sedating over- the-counter antihistamines. 8 Additional estimates of the impact of allergic diseases are presented in Table 1. Exercise 1 Allergic rhinitis is associated with which of the following? a. Acute otitis media b. Otitis media with effusion c. Rhinosinusitis . . .
. . .  Nasal itching d. Sneezing Answer: a. According to the American Academy of Allergy, Asthma, and Immunology, intranasal corticosteroids and decon- gestants provide the most substantial benefit for symptoms of congestion; oral decongestants and intranasal mast cell stabilizers provide modest benefit; and nasal antihistamines provide only lit- tle or minimal benefit. Exercise 5 List the four principles recommended to guide the clinical man- agement of allergic rhinitis . Answer: Guidelines proposed by the Allergic Rhinitis and its Impact on Asthma Initiative for the management of allergic rhini- tis include minimizing . . .
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