最近审阅: 1 十一月 2020
最近更新: 30 一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 鼻塞
  • 鼻后滴漏
  • 鼻溢(流涕)
  • 咽痛

其他诊断因素

  • 耳堵塞感
  • 鼻窦源性头痛
  • 由姿势变化引发
  • 无发热
  • 打喷嚏
  • 脓性分泌物
  • 双侧症状
  • 鼻窦痛

危险因素

  • 发病年龄> 35 岁
  • 没有季节性症状
  • 猫没有使症状加重
  • 暴露于香水
  • 暴露于烟雾(例如:木柴、烟草)
  • 暴露于发胶
  • 暴露于罐装香料
  • 温度的变化
  • 气压变化
  • 无家族过敏史
  • 高雌激素状态
  • β-受体阻滞剂的使用
  • 滴鼻剂滥用

诊断性检查

首要检查

  • 变应原皮肤点刺试验
  • 血清特异性 IgE 检测
更多 首要检查

需考虑的检查

  • 鼻嗜酸性粒细胞涂片
  • 鼻窦计算机体层成像
  • 鼻内镜检查
  • 鼻内激发试验
更多 需考虑的检查

治疗流程

撰稿人

Professor of Clinical Medicine

Department of Internal Medicine

Division of Immunology/Allergy Section

University of Cincinnati College of Medicine

Cincinnati

OH

利益声明

JAB has acted as a consultant for Inflamax, MEDA, GSK, and ATL, and serves on a medical safety board for HAL Allergy; is a principle investigator or sub-principle investigator for over 30 pharmaceutical companies; has an investigator-initiated research project from Shire; is a protocol chair for a U44 clinical trial funded by NAIAD; is a speaker for AZ, Shire, and CSL Behring; and is an author of a number of references cited in this topic.

Professor Bernstein would like to gratefully acknowledge Dr Chris Codispoti, a previous contributor to this topic.

利益声明

CC declares that he has no competing interests.

同行评议者展开全部内容

Associate Member

St. Jude Faculty Director

Pediatric Infectious Diseases Fellowship Program

Memphis

TN

利益声明

EEA declares that she has no competing interests.

Chief

ENT Department

Istanbul Training and Research Hospital

Istanbul

Turkey

利益声明

OY declares that he has no competing interests.

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