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Abstract: . . . on Practice Pa- rameters in Allergy, Asthma and Immunology is co-sponsored by the American Acad- emy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology and the Joint Council of Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol 1998;81:469473. BOX 1: Initial Evaluation of a Patient who Presents with a History Compatible with Rhinitis . . . . . . and Diagnosis and Management of Rhinitis : Complete Guidelines of the Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology (Ann Allergy, Asthma, Immunol 1998;81:478578). The Joint Task Force on Practice Pa- rameters in Allergy, Asthma and Immunology is co-sponsored by the American Acad- emy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology . . . . . . Diagnosis and Management of Rhinitis : Complete Guidelines of the Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology (Ann Allergy, Asthma, Immunol 1998;81:478578). The Joint Task Force on Practice Pa- rameters in Allergy, Asthma and Immunology is co-sponsored by the American Acad- emy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology and . . . . . . performance impairment (that may not be subjectively perceived by patients) and/or anti-cholinergic ef- fects (eg, dry mouth, urinary reten- tion). Consequently, second generation Figure 1. Algorithm for diagnosis and management of rhinitis . 470 ANNALS OF ALLERGY, ASTHMA, & IMMUNOLOGY Page 3 antihistamines that are associated with less risk or . . . . . . health care providers as well as interaction with the patient and often the patients family. Although there is no surgical treat- ment for rhinitis per se, referral to an ear, nose and throat surgeon/otolaryn- gologist may be indicated in the man- agement of co-morbid conditions, eg, surgery for nasal obstruction from se- vere nasal septal deviation or recurrent refractory . . . . . . MD*; Rufus Lee, MD; Joann Blessing-Moore, MD ; James T Li, MD, PhD¶; I Leonard Bernstein, MD**; William Berger, MD, MBA; Sheldon Spector, MD; and Diane Schuller, MD§§ The algorithm and text annotations in this document are intended to assist clinical decision making about patients who present with symptoms of rhinitis . This docu- ment complements the Executive Summary of Joint Task Force Practice . . . . . . gologist may be indicated in the man- agement of co-morbid conditions, eg, surgery for nasal obstruction from se- vere nasal septal deviation or recurrent refractory sinusitis. Other reasons for referral to an otolaryngologist include the evaluation of ostiomeatal obstruc- tion, nasal polyp surgery, biopsy of nasal tumors, or other surgical require- ments. VOLUME 81, NOVEMBER . . . --3000,7,214,3490,24463
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