Allergic rhinitis by 7B4G21r

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									                                                          1




                                                  Pediatric
Asthma/Allergy       1998




                       (Rhinitis)


                            (Allergic Rhinitis)
    -
                                                   specific
          u
  Classification ข allergic rhinitis
     1.



        2.




  1.
        1.1
                 u                         u
                                                                2



     1.2

     1.3
     1.4                                     (en


2.
     2.1
       


       


                                  u
                                                            u

                            u         u       u
           u          ?

                  atopic dermatitis
       
               (skin test)

                                                       ad
                                       (anaphylaxis)


                                                            u
                       histamine

       
       
       
       
                                                                                           3



      
      


                                                                                       -




          Serum specific IgE
                                                          basophils,mast cells, eosinophils
                   u
                                        peak flow, rhinomanometry, acoustic rhinometry

  1. Paranasal sinus X-ray
  2. -                               u

                           ข




- Mild     =                                                -
- Moderate =

- Severe       =


                         (general measures)
  
  
  
                                                                           4



     
2.

3.
     3.1 Mild degree
         


                                                                  u
                                           -

     3.2 Moderate degree
            antihistamine   
             -                   regular basis
         
                                                 u
             1.        u                             u



                                                             dec
                                                         -
             2.




                                                                       -
                                                                                         5



          


          


     3.3
        1.
                                      moderate   degre

     2.

     3.                                                                       u




1. International Rhinitis Management Working Group. International consensus report in the
   diagnosis and management of rhinitis. Allergy 1994;49 (suppl 19):5-34.
2. Kaplan AP. Basic allergy: immunoglobulin E synthesis, inflammation and therapy. Allergy
   1995;50 (suppl 25):5-24.
3. Naclerio RM, Jones AS, Rowe-Jones JM, Fokkens WJ, Meltzer EO. The management of
   perennial rhinitis. Allergy 1997;52 (suppl 36):5-40.
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ณ




    1999;38(3):230-4.

								
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