Abstract: . . .  Diagnosing Rhinitis : Allergic vs. Nonallergic DAVID M. QUILLEN, M.D., and DAVID B. FELLER, M.D. University of Florida Family Medicine Residency Program, Gainesville, Florida R hinitis is an inflammation of the nasal mucosa. Associated clini- cal symptoms include excessive mucus production, congestion, sneezing . . .
. . .  commercial laboratories’ ability to classify positive and/or negative allergen-specific IgE results. Ann Allergy Asthma Immunol 2001;86:373-81. 12. Host A, Andrae S, Charkin S, Diaz-Vazquez C, Dreborg S, Eigenmann PA, et al. Allergy testing in children: why, who, when and how? Allergy 2003;58:559-69. 13. Settipane RA, Lieberman P. Update on nonallergic rhi- nitis. Ann Allergy Asthma Immunol 2001;86:494-507 14. Rakel RE, Lieberman P, Hedges H. New tools for diag- nosing rhinitis . Family Practice Recertification 2002; 24(suppl):S1-12. 15. Lieberman P, Rakel RE, Hedges H, Kuritzky L, Ledger- wood GL, Squillace S, et al. Quantifying the incidence of mixed rhinitis with a new . . .
. . .  identifying food, venom, or drug allergies. Allergy testing in children has its own challenges. Authors of a large literature review 12 provided evidence-based recom- mendations for allergy testing in children with various allergic diseases (e.g., rhi- nitis, asthma, food allergy). The review table 3 Allergic vs. Nonallergic Rhinitis Clinical characteristic Allergic rhinitis Nonallergic rhinitis Ancillary studies Positive skin tests Negative skin tests Exacerbating factors Allergen exposure Irritant exposure, weather changes Family history of allergies Usually present Usually absent Nasal eosinophilia . . .
. . .  commercial laboratories’ ability to classify positive and/or negative allergen-specific IgE results. Ann Allergy Asthma Immunol 2001;86:373-81. 12. Host A, Andrae S, Charkin S, Diaz-Vazquez C, Dreborg S, Eigenmann PA, et al. Allergy testing in children: why, who, when and how? Allergy 2003;58:559-69. 13. Settipane RA, Lieberman P. Update on nonallergic rhi- nitis. Ann Allergy Asthma Immunol 2001;86:494-507 14. Rakel RE, Lieberman P, Hedges H. New tools for diag- nosing rhinitis . Family Practice Recertification 2002; 24(suppl):S1-12. 15. Lieberman P, Rakel RE, Hedges H, Kuritzky L, Ledger- wood GL, Squillace S, et al. Quantifying the incidence of mixed rhinitis with a new . . .
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