PPP 179 - Rhinitis with Prof Pete Smith
We talk with Prof Pete Smith, an allergist from Queensland about
Why rhinitis shouldn’t be sneezed at (sorry we had to), including the consequences of allergic rhinitis being un/undertreated
The recommended method to use intranasal sprays - hint “if you can taste it, you’re wasting it”
How to discuss concerns patients might have about intranasal corticosteroids
The long list of potential triggers of nonallergic rhinitis
What are the red flag symptoms of rhinitis?
Some further reading:
Nonallergic Rhinopathy: A Comprehensive Review of Classification, Diagnosis, and Treatment. The journal of allergy and clinical immunology. In practice, S2213-2198(24)00270-8. Advance online publication. https://doi.org/10.1016/j.jaip.2024.03.009
Itch Beyond the Skin-Mucosal Itch. Front Allergy. 2021;2:700368. Published 2021 Oct 28. https://doi.org/10.3389/falgy.2021.700368
Characteristics of nonallergic vasomotor rhinitis. World Allergy Organ J. 2009 Jun 15;2(6):102-5. https://doi.org/10.1097/wox.0b013e3181a8e389
Allergic and Mixed Rhinitis: Diagnosis and Natural Evolution. J Clin Med. 2019 Nov 19;8(11):2019. https://doi.org/10.3390/jcm8112019
Inadequate Rhinitis Control in Real Life—What to Do? - Glenis Kathleen Scadding - https://www.jaci-inpractice.org/article/S2213-2198(24)00522-1/pdf
Baroody FM. Nonallergic Rhinitis: Mechanism of Action. Immunol Allergy Clin North Am. 2016 May;36(2):279-87. doi: 10.1016/j.iac.2015.12.005. Epub 2016 Mar 5. PMID: 27083102. - https://pubmed.ncbi.nlm.nih.gov/27083102/
Baroody FM, Mucha SM, Detineo M, Naclerio RM. Nasal challenge with allergen leads to maxillary sinus inflammation. J Allergy Clin Immunol. 2008 May;121(5):1126-1132.e7. doi: 10.1016/j.jaci.2008.02.010. Epub 2008 Mar 26. PMID: 18367240.\ - https://pubmed.ncbi.nlm.nih.gov/18367240/
Lieberman P, Pattanaik D. Nonallergic rhinitis. Curr Allergy Asthma Rep. 2014 Jun;14(6):439. doi: 10.1007/s11882-014-0439-3. PMID: 24715611. - https://pubmed.ncbi.nlm.nih.gov/24715611/
