II. Associated Conditions
III. History: Allergy
- Early Onset of Allergic Rhinitis
- Positive Family History of Atopy
- Seasonal Allergic Rhinitis symptoms
- Provocative Symptoms
- Worse with animal exposure
- Worse outdoors
- Worse near cut grass
- Better in air conditioning
- Tobacco and chemicals are not the primary cause
- History of prior relief with Immunotherapy
IV. Prevention
- See Allergen Control (especially Dust mite exposure)
- Protocol in children with strong atopic family histories (2 first degree relatives)
- Exclusive Breast Feeding (preferred) or hydrolyzed formula for first year
- No solid foods until after 6 months of age
- Delay nuts, shellfish, and fish until over age 4 years
- Breast-feeding mother avoids eggs, milk, tree nuts, peanuts, and seafood
- Fiocchi (2006) Ann Allergy Asthma Immunol 97(1):10-20 [PubMed]