Aalergic rhinitis and VMR

43 %
57 %
Information about Aalergic rhinitis and VMR
Education

Published on November 13, 2008

Author: drkassamy

Source: authorstream.com

Allergic Rhinitis : Allergic Rhinitis Assistant lecturer/ Hany kassamy Mohamed drkassamy@yahoo.com Mob.: 010/ 52 61 091 Definition; : Definition; Type I hypersensitivity reaction. IgE mediated. 10-20 % Types ; : Types ; 1- Seasonal ( spring; pollens) 2- Perennial (dust mites) Etiology; : Etiology; Predisposing factors Genetic ( IgE) Exciting factors  Ag (inhalant,… Aggrevating factors  Inf. ,anatomical… Pathogenesis ; : Pathogenesis ; 1st exposure (+) B-lymphocytes& Plasma cells  IgE  sensitized mast cells. 2ND exposure Ag /Ab reaction mast cells Degranulation Humoral Rection ( LPSH ) 15mln. (N. &Ms. &Gl. &B.V.) (S,I & Br.Spasm & H2O Rh. & Edema ,N.O. ) Cellular Reaction (PM:L.E.) 6hs.48hs. Recruitment C/O: : C/O: Paroxysmal R,S,I, N.O.  seasonal / perennial / Ag. Exposure + itchy eye ,palate, ear, urticaria , Br. Spasm +ve. Family history  e´medications  of complication : Persistent N.O.,Rec.S. O/E: : O/E: Wet ,swollen ,pale bluish MM. supra tip crease  infra orbital buffiness HIT. , Nasal Polyps Investigations; : Investigations; Diagnose Detect Show allergy allergen complications - Esinophilia - Skin prick - CT PNS S.T. IgE - Nasal provo- cation - RAST(sp.IgE) Treatment ; : Treatment ; Medical +++ Surgical Medical TTT. : Medical TTT. Ag : 1- Known A- Avoidable  avoid B- NOT  Hyposensitization 2- Unknown (L.&S.) Steroids Anti histaminics Mast cell stabilizers Anti leukotrienes Surgical : Surgical 1- Aggrevating factors ;septoplasty 2- Complications; turbinectomy , polypectomy ,FESS. Vasomotor Rhinitis : Vasomotor Rhinitis Chronic hypertrophic rhinitis Non specific , Non allergic , perennial Pathogenesis; : Pathogenesis; Predisposing factors  Autonomic Imbalance e´ P.Symp. predominance Exciting factors hormonal ( Pg. & Menopause& T3) environmental (humidity changes … drugs (contraceptives ,B.B. , vasoconstictors) stress C/P: : C/P: C/O:  persistent N.O.  R,S, e´out I O/E:  HIT. wet swollen congested MM. TTT. : TTT. 1-Medical (L.&S.) Steroids  Anticholinergic  Daflon 500 mg 1x2 2- Surgical  Turbinectomy ( partial, SMD, Laser ) ?? vidian neurectomy Slide 18: Many Thanks A lot of Thanks Thank you

Add a comment

Related presentations

Related pages

Vasomotor rhinitis (VMR) | Allergy Partners of Richmond

Vasomotor rhinitis (VMR) is a condition in which the blood vessels lining the nose swell leading to nasal congestion, and in which the mucus glands in the ...
Read more

Vasomotor Rhinitis (VMR) or idiopathic non-allergic rhinitis

Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea ...
Read more

Vasomotor (Non-allergic) Rhinitis » ALLERGY & ASTHMA

Vasomotor rhinitis (VMR), also called non-allergic rhinitis, is a form of chronic nasal inflammation characterized by nasal congestion, post nasal drip ...
Read more

Epidemiology of Vasomotor Rhinitis - National Center for ...

Vasomotor rhinitis is the most common form of nonallergic rhinitis, comprising approximately 71% of all nonallergic rhinitis conditions ...
Read more

Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis ...

Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis Clinical Importance, Differential Diagnosis, and Effective Treatment Recommendations
Read more

Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis ...

Allergic rhinitis is the most prevalent and ... With a Focus on Vasomotor Rhinitis Clinical Importance, Differential ... VMR, and mixed rhinitis ...
Read more

State and trait anxiety in women affected by allergic and ...

Fig. 1. Percentage of subjects with allergic rhinitis (AR), vasomotor rhinitis (VMR), and healthy controls (C) who tested positive to the test administered ...
Read more

Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis

Nonallergic Rhinitis, With a Focus on Vasomotor Rhinitis ... VMR, and mixed rhinitis, ... receptor antagonists for the treatment of allergic rhinitis: ...
Read more

Nonallergic rhinitis - Mayo Clinic

Nonallergic rhinitis — Comprehensive overview covers symptoms, causes and treatment of this bothersome condition.
Read more

VASOMOTOR (NON-ALLERGIC) RHINITIS - Allergy Associates, PC ...

VASOMOTOR (NON-ALLERGIC) RHINITIS Vasomotor rhinitis (VMR) is a condition in which the blood vessels lining the nose swell leading to nasal congestion, and ...
Read more