II. Causes
- See Rhinitis Causes
III. History
- Duration of symptoms <1 week
- Viral Rhinitis
- Allergic Rhinitis Exacerbation
- Chronic symptoms that follow pattern of triggers
- Seasonal or Perennial Allergic Rhinitis
- Other causes
- Drug-Induced Rhinitis
- Exercise-induced Rhinitis
- Gustatory Rhinitis or other food reactions
- Vasomotor Rhinitis
- Irritant Rhinitis
- Unilateral Rhinorrhea
- Choanal Atresia
- Nasal Foreign Body (especially in young children)
- Nasal Neoplasm
- Cerebrospinal Fluid Rhinorrhea
- Underlying medical conditions
- Hypothyroidism
- Rheumatoid conditions (e.g. SLE, Sjogren's Syndrome)
- Gastroesophageal Reflux
IV. Examination
- Eyes
- Ears
- Eustachian Tube Dysfunction (chronic congestion)
- Nose
- Nose breathing difficult (chronic congestion)
- Deviated septum
- Nasal Polyps
- Purulent nasal drainage (Acute Sinusitis)
- Mouth
- Tonsil hypertrophy (Non-allergic Rhinitis)
- Neck
- Respiratory
- Wheezing (Asthma and Atopic Triad)
- Skin
V. Diagnostics
-
Eosinophils on nasal drainage evaluation
- Suggests Allergic Rhinitis or Eosinophilia Syndrome
- Allergy evaluation
- Skin Testing for allergy
- RadioAllergoSorbent Test (RAST)
VI. Differential Diagnosis
-
Allergic Rhinitis
- Sneezing and Pruritus with seasonal variation
- Pale, boggy nasal mucosa
- Family History of Allergic Rhinitis or atopy
- Allergen exposure or positive Allergy Testing
-
Non-allergic Rhinitis
- See Rhinitis Causes
- Perennial symptoms
- Post-nasal drainage
- Erythematous nasal mucosa
- Irritant exposure and negative Allergy Testing
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Related Studies
Definition (MSH) | Inflammation of the NASAL MUCOSA, the mucous membrane lining the NASAL CAVITIES. |
Definition (CHV) | an inflammation of the nasal mucous membrane |
Definition (MSHCZE) | Rýma, zánět nosní sliznice. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ ) |
Definition (NCI) | An inflammation of the mucous membrane lining the nose, usually associated with nasal discharge. |
Definition (CSP) | inflammation of the mucous membrane of the nose. |
Concepts | Disease or Syndrome (T047) |
MSH | D012220 |
SnomedCT | 70076002 |
English | Rhinitides, RHINITIS, rhinitis, rhinitis (diagnosis), Catarrh, Nasal, Nasal Catarrhs, Nasal Catarrh, Catarrhs, Nasal, Rhinitis NOS, Rhinitis [Disease/Finding], Inflammation of nasal passage, Rhinitis (disorder), Rhinitis, Rhinitis, NOS |
French | RHINITE, Rhinite SAI, Rhinite |
Portuguese | RINITE, Rinite NE, Catarro Nasal, Rinite |
Spanish | RINITIS, Rinitis NEOM, Catarro Nasal, rinitis (trastorno), rinitis, Rinitis |
German | RHINITIS, Rhinitis NNB, Rhinitis |
Dutch | rhinitis NAO, rhinitis, Rhinitis |
Italian | Rinite NAS, Catarro nasale, Rinite |
Japanese | 鼻炎NOS, ビエンNOS, ビエン, 鼻炎 |
Swedish | Snuva |
Czech | rýma, rinitida, Rinitida NOS, Rinitida, rhinitis |
Finnish | Nuha |
Russian | RINIT, РИНИТ |
Croatian | RINITIS |
Polish | Nieżyt nosa |
Hungarian | rhinitis k.m.n., rhinitis |
Norwegian | Rhinitt, Snue |
Ontology: Acute Coryza (C0086066)
Concepts | Finding (T033) |
MSH | D003139 |
English | CORYZA, Acute Coryza, Coryza, nasal discharge coryza, coryza (physical finding), coryza, rhinitis acute, acute nasopharyngitis, acute rhinitis, acute coryza, Coryza, Acute |
Dutch | coryza, Coryza, acute |
French | Coryza, Rhinopharyngite aigüe, Coryza aigu, CORYZA, Rhinite aiguë épidémique, Rhinopharyngite aiguë |
German | Coryza, Coryza, akute, CORYZA |
Italian | Corizza, Coriza acuta |
Portuguese | Rinite, Coriza Aguda, CORIZA |
Spanish | Coriza, Coriza Aguda, CORIZA |
Japanese | 鼻感冒, ビカンボウ |
Czech | Koryza, koryza akutní |
Hungarian | Nátha |
Norwegian | Snue, akutt, Akutt snue |
Ontology: Rhinorrhea (C1260880)
Definition (NCI) | A discharge of fluid from the nose. |
Concepts | Sign or Symptom (T184) |
SnomedCT | 267101005, 397811005, 266377009, 6696001, 139651003, 206325007, 162381008, 155497009, 282041000009108, 64531003, 397746007 |
LNC | LA21234-2, LA15890-9 |
English | RHINORRHEA, RHINORRHOEA, Runny nose, Nasal discharge present (context-dependent category), Nasal discharge present (situation), nasal discharge rhinorrhea, rhinorrhea, rhinorrhea (physical finding), nasal discharge as symptom, nasal discharge (symptom), nasal discharge (physical finding), nasal discharge, Rhinorrhea, nose discharge, nose runny, nose run, Discharge;nasal, dripping nose, drips nose, nasal drip, discharge from nose, discharge nasal, Runny;nose, nose drip, nose running, runny nose, discharge nose, nasal catarrh, dripping nasal, drip nasal, drips nasal, nose runs, rhinorrhoea, running nose, Nasal Discharge, Runny Nose, Nasal discharge (& present) (finding), Nasal discharge present (finding), Rhinorrhea (finding), Nasal discharge (& present), Increased nasal secretion, Excessive noise from nasal passage, Snuffling (finding), Snuffling, Nose run, Nasal discharge, Snuffles, Nasal discharge present, Nose dripping, Nose running, Nasal discharge (disorder), Snuffles (finding), Rhinorrhoea, Discharge from nose, Nasal catarrh, catarrh; nasal, catarrh; nasopharyngeal, nasal; catarrh, nasopharyngeal; catarrh, snuffles |
Italian | Rinorrea, Secrezione nasale, Catarro nasale |
Spanish | secreción nasal presente (situación), Secreción nasal, Catarro nasal, Moqueo, secreción nasal presente (categoría dependiente del contexto), RINORREA, rinorrea (hallazgo), aumento de la secreción nasal, catarro nasal, resuellos (hallazgo), resuellos, rinorrea (trastorno), rinorrea, secreción nasal presente, secreción nasal, Rinorrea, descarga nasal |
Dutch | nasale afscheiding, loopneus, neusverkoudheid, catarre; nasofaryngeaal, catarre; neus, nasofaryngeaal; catarre, neus; catarre, rhinorroe |
French | Catarrhe nasal, Nez qui coule, Ecoulement nasal, RHINORRHEE, Rhinorrhée |
German | laufende Nase, Nasenkatarrh, Nasensekret, RHINORRHOE, Rhinorrhoe |
Portuguese | Corrimento nasal, Catarro nasal, Nariz com corrimento, RINORREIA, Rinorreia |
Japanese | 鼻漏, 鼻汁, 鼻カタル, ビジュウ, ハナジル, ビロウ, ハナカタル, ビカタル |
Czech | Příznaky rýmy, Rinorea, Nosní katar, Nosní sekrety |
Hungarian | Váladékozó orr, Rhinorrhoea, Catarrhus nasalis, Nasalis váladékozás |