Premium
Rhinitis in children: Common clinical presentations and differential diagnoses
Author(s) -
Rotiroti G.,
Roberts G.,
Scadding G. K.
Publication year - 2015
Publication title -
pediatric allergy and immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 89
eISSN - 1399-3038
pISSN - 0905-6157
DOI - 10.1111/pai.12339
Subject(s) - medicine , differential diagnosis , asthma , presentation (obstetrics) , medical diagnosis , limiting , intensive care medicine , allergy , pediatrics , quality of life (healthcare) , dermatology , immunology , pathology , surgery , mechanical engineering , nursing , engineering
Rhinitis is a common presentation in childhood. Acute virally induced rhinitis is generally self‐limiting and usually does not require medical attention. Whilst allergic rhinitis is the focus of the paediatric allergist, the presentation of other diseases or comorbidities that can complicate or mimic allergic rhinitis needs to be considered. Effects on the child's quality of life also need to be addressed. Rhinitis can be associated with asthma and other significant comorbidities: importantly, non‐allergic rhinitis can sometimes be a consequence of systemic immune impairment. The diagnosis of rhinitis is based on clinical findings with directed investigations. Nasal nitric oxide measurement is an emerging diagnostic tool and helpful particularly in relation to evaluating the differential diagnosis in more difficult rhinitis. Successfully identifying the cause of rhinitis in childhood and associated comorbidities can ensure that the patient is successfully treated as described in the recently published EAACI P ediatric R hinitis P osition P aper.