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Rhinitis, An Issue of Immunology and Allergy Clinics of North America, E-Book

Rhinitis, An Issue of Immunology and Allergy Clinics of North America, E-Book

Jonathan A. Bernstein

(2016)

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Book Details

Abstract

This issue of Immunology and Allergy Clinics of North America, guest edited by Dr. Jonathan A. Bernstein, is devoted to Rhinitis. Articles in this issue include: Rhinitis Subtypes, Endotypes, and Definitions; Allergic Rhinitis: Burden of Illness, Quality of Life and Control; Allergic Rhinitis: Mechanisms of Action; Allergic Rhinitis: Diagnosis; Allergic Rhinitis: Treatment; Non-allergic Rhinitis: Mechanism of Action; Non-allergic Rhinitis: Diagnosis; Non-allergic Rhinitis: Treatment; Localized Allergic Rhinitis; Occupational Rhinitis; Rhinitis in the Elderly; Complications of Rhinitis; Allergic Rhinitis: Environmental Determinants; Non-allergic Rhinitis: Environmental Determinants; and Novel, Alternative, and Controversial Therapies.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Rhinitis i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword: Rhinitis: The Great Enigma\r vii
Preface: Rhinitis\r vii
Rhinitis Subtypes, Endotypes, and Definitions\r vii
Allergic Rhinitis: Burden of Illness, Quality of Life, Comorbidities, and Control\r vii
Diagnosing Allergic Rhinitis\r vii
Allergic Rhinitis: Mechanisms and Treatment\r vii
Nonallergic Rhinitis: Mechanism of Action\r viii
Nonallergic Rhinitis: Diagnosis\r viii
Nonallergic Rhinitis: Treatment\r viii
Local Allergic Rhinitis\r viii
Occupational Rhinitis\r ix
Rhinitis in the Elderly\r ix
Complications of Rhinitis\r ix
Allergic Rhinitis: Environmental Determinants\r ix
Nonallergic Rhinitis: Environmental Determinants\r x
Novel, Alternative, and Controversial Therapies of Rhinitis\r x
IMMUNOLOGYAND ALLERGY\rCLINICS OF NORTH AMERICA \r xi
FORTHCOMING ISSUES xi
August 2016 xi
November 2016 xi
February 2017 xi
RECENT ISSUES xi
February 2016 xi
November 2015 xi
August 2015 xi
Rhinitis: The Great Enigma xiii
Rhinitis xv
Rhinitis Subtypes, Endotypes, and Definitions 215
Key points 215
INTRODUCTION 215
SUBTYPES, ENDOTYPES, AND DEFINITIONS 216
Rhinosinusitis and Overlapping Subtypes 216
Allergic Rhinitis 217
Nonallergic Rhinitis 218
Idiopathic rhinitis 219
Hormonal rhinitis 221
Gustatory rhinitis 222
Drug-induced rhinitis 222
Rhinitis of the elderly 224
Atrophic rhinitis 224
Local allergic rhinitis 225
Occupational rhinitis 225
RHINITIS BY STRUCTURAL/MECHANICAL ABNORMALITIES 226
RHINITIS AS A SIGN OF SYSTEMIC DISEASE 227
SUMMARY 227
REFERENCES 227
Allergic Rhinitis 235
Key points 235
INTRODUCTION 235
PREVALENCE OF ALLERGIC RHINITIS 235
QUALITY OF LIFE IN ALLERGIC RHINITIS 236
COMORBIDITIES OF ALLERGIC RHINITIS 239
Associated Headaches 239
Associated Allergic Conjunctivitis 240
Associated Otitis Media 240
Associated Rhinosinusitis 240
Associated Cough Sensitivity 240
Associated Asthma 241
Associated Gastroesophageal Reflux 241
Associated Sexual Dysfunction 242
Associated Skin Rashes 242
Associated Sleep Disturbances 242
CONTROL OF ALLERGIC RHINITIS 243
REFERENCES 244
Diagnosing Allergic Rhinitis 249
Key points 249
INTRODUCTION 249
DIAGNOSIS OF ALLERGIC RHINITIS 249
HISTORY 250
EXAMINATION 253
INVESTIGATIONS 254
SUMMARY 258
REFERENCES 258
Allergic Rhinitis 261
Key points 261
INTRODUCTION 261
Allergic Rhinitis Mechanisms 262
PHARMACOTHERAPY FOR ALLERGIC RHINITIS SUBTYPES 264
Seasonal Allergic Rhinitis 264
Perennial Allergic Rhinitis 264
Allergen Immunotherapy 265
PHARMACOTHERAPY, MECHANISMS OF ACTION, AND DOSING 266
MEDICATION ADMINISTRATION CAVEATS 271
MEDICATION SAFETY AND SIDE EFFECTS 271
FUTURE TREATMENT DIRECTIONS 272
SUMMARY 273
REFERENCES 273
Nonallergic Rhinitis 279
Key points 279
INTRODUCTION 279
INFLAMMATION 280
NEUROGENIC MECHANISMS 282
Innervation of the Nasal Mucosa 282
Contribution of Neurogenic Mechanisms to the Pathophysiology of Nonallergic Rhinitis 283
RESPONSE TO NASAL PROVOCATION 283
Histamine Challenge 284
Cold-Dry Air Challenge 284
Challenge with Capsaicin 284
REFERENCES 285
Nonallergic Rhinitis 289
Key points 289
INTRODUCTION 289
Classifying Chronic Rhinitis 290
SYMPTOMS 291
Differences Between Allergic and Nonallergic Rhinitis 291
Questionnaire Diagnosis 292
Triggers 294
Focused Physical Examination 295
Comorbidities 295
DIAGNOSTIC TEST/IMAGING STUDY 295
Skin Prick and Allergen-specific IgE Antibody Testing 295
Intracutaneous Testing 296
Imaging 297
Additional Testing Modalities 297
TREATMENT RESPONSE 299
DIFFERENTIAL DIAGNOSIS 299
FUTURE CONSIDERATIONS: ENVIRONMENTAL EXPOSURE CHAMBERS 299
SUMMARY 301
REFERENCES 301
Nonallergic Rhinitis 305
Key points 305
DEFINITION 305
PATHOGENESIS 305
NONINFLAMMATORY FORMS 306
INFLAMMATORY FORMS 307
TREATMENT 309
Overview 309
Specific Agents 309
Intranasal corticosteroids 309
Topical antihistamine sprays 310
Combination therapy with intranasal corticosteroids and azelastine 310
Ipratropium bromide 311
Adjunctive therapies 311
Topical capsaicin 311
Oral and intranasal decongestants 312
Nasal saline irrigation 312
Oral antihistamines 312
Role of surgery 312
Prognosis 313
REFERENCES 313
Local Allergic Rhinitis 321
Key points 321
DEFINITION OF LOCAL ALLERGIC RHINITIS 321
UNDERLYING IMMUNE MECHANISMS 321
T-helper 2 Cell Nasal Immunologic Response 322
Positive Response to the Nasal Allergen Provocation Test 322
Local Specific Immunoglobulin E Production 322
Basophil Activation 323
CLINICAL FEATURES AND EPIDEMIOLOGIC DATA 323
Clinical Features of Local Allergic Rhinitis 323
Epidemiologic Studies 323
COMORBIDITIES AND LOCAL ALLERGIC RESPIRATORY DISEASE 323
Local Immunoglobulin E in Lower Airways 324
Conjunctivitis and Local Immunoglobulin E 324
NATURAL HISTORY AND RISK FACTORS 326
Diagnostic Test and Differential Diagnosis 326
THERAPEUTICS OPTIONS 327
FUTURE CONSIDERATIONS AND SUMMARY 328
REFERENCES 329
Occupational Rhinitis 333
Key points 333
INTRODUCTION 333
EPIDEMIOLOGY 334
RISK FACTORS 334
PATHOPHYSIOLOGY 335
CLINICAL FEATURES 336
ACUTE MANAGEMENT 336
CHRONIC MANAGEMENT 336
DIFFERENTIAL DIAGNOSIS 336
PROGNOSIS 337
AREAS REQUIRING FURTHER INVESTIGATION 338
FUTURE CONSIDERATIONS AND SUMMARY 338
REFERENCES 338
Rhinitis in the Elderly 343
Key points 343
EPIDEMIOLOGY OF RHINITIS IN THE ELDERLY 343
TYPES OF RHINITIS IN THE ELDERLY 344
Allergic Rhinitis 344
Nonallergic Rhinitis 344
Mixed Rhinitis 344
Atrophic Rhinitis 345
DIFFERENTIAL DIAGNOSIS OF RHINITIS 345
SPECIAL CONSIDERATIONS IN OLDER ADULTS 345
Age-related Nasal Changes 345
Immunosenescence and Rhinitis 347
Impact of Comorbidities 347
Limited Income and Poverty 348
Complementary and Alternative Medicine for Rhinitis Among the Elderly 349
Dementia, Memory Loss, and Medication Compliance in Older Adults 349
TREATMENT OF RHINITIS IN THE ELDERLY 349
Allergic Rhinitis 349
Nonallergic Rhinitis 350
Mixed Rhinitis 351
Atrophic Rhinitis 351
UNIQUE MEDICATION AND TREATMENT CONCERNS IN OLDER ADULTS 351
SUMMARY 352
REFERENCES 352
Complications of Rhinitis 359
Key points 359
INTRODUCTION 359
RHINOSINUSITIS 359
ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE 361
SLEEP DISTURBANCE 362
OTITIS MEDIA 362
LEARNING IMPAIRMENT AND QUALITY OF LIFE 363
SUMMARY 363
REFERENCES 363
Allergic Rhinitis 367
Key points 367
INTRODUCTION 367
IMPROVED HYGIENE AND BACTERIAL EXPOSURE 368
ALLERGEN EXPOSURE 370
Cat/Dog Allergen Exposure 370
House Dust Mite Exposure 371
Rodent Allergen Exposure 371
Mold Exposure 372
Allergic Occupational Rhinitis 372
AIR POLLUTION 372
Ozone 373
Traffic Pollution 373
CLIMATE CHANGE 373
ENVIRONMENTAL TOXICANTS 374
SUMMARY 374
REFERENCES 374
Nonallergic Rhinitis 379
Key points 379
INTRODUCTION 379
BACKGROUND: ANATOMY, PHYSIOLOGY, AND REGIONAL DEPOSITION OF AIR POLLUTANTS 380
EPIDEMIOLOGY OF NONALLERGIC RHINITIS 383
SYMPTOM TRIGGERS AND OTHER ENVIRONMENTAL INCITANTS 384
Symptom Surveys of Patients 384
Observational Studies 385
Ambient air quality 385
Indoor air quality 387
Intervention studies 387
Controlled Human Exposure Studies 387
PHYSICAL INCITANTS 389
Cold, Dry Air 389
Barometric Pressure and Altitude 390
CHEMICAL INCITANTS 390
Environmental Tobacco Smoke 390
Volatile Organic Compounds 391
Ammonia 392
Chlorine 392
Sulfur Dioxide 392
Ozone 392
Acetic Acid 393
Carbonless Copy Paper 393
Paper Dust 393
Dry Powder Mannitol 393
MECHANISM(S) UNDERLYING CHEMICAL IRRITANT-INDUCED NASAL REFLEXES 394
SUMMARY 395
REFERENCES 396
Novel, Alternative, and Controversial Therapies of Rhinitis 401
Key points 401
INTRODUCTION 401
ADVANCES IN THE KNOWN INTRANASAL TREATMENT 402
Conclusion 407
TARGETING SINGLE MEDIATOR OR RECEPTOR 407
Mast Cell Stabilizers 407
Antihistamines 408
Anti-immunoglobulin E Therapy 408
Cytokine Inhibitors 409
Toll-like Receptor Agonists 409
Prostaglandin D2 Receptor Antagonists 410
Conclusion 410
NEUROGENIC PATHWAY MODULATORS 410
Nasal Application of Botulinum Toxin A 410
Capsaicin 411
Ipratropium Bromide 411
Conclusion 412
WIDESPREAD EFFECT 412
Developments in Immunotherapy 412
SURGICAL TREATMENT 412
Nasal Passage Widening Procedures 413
Vidian Neurectomy 413
Silver Nitrate 413
Conclusion 413
ALTERNATIVE + CONTROVERSIAL 413
Acupuncture 413
Acupressure 414
Rhinophototherapy 415
Intranasal Carbon Dioxide 415
Kinetic Oscillation Stimulation 415
Crenotherapy 415
REFERENCES 416