Treatment of allergic rhinitis and lights of the big nose!

Treat­ment of aller­gic rhini­tis: the lights of the big nose! The treat­ment of aller­gic rhini­tis is well known, com­bines aller­gen avoid­ance, med­ica­tion and spe­cific immunother­apy. And it was a long time as things are. So it’s always nice to offer a new treat­ment of pho­tother­apy. The opin­ion of the edi­tor: Pho­tother­apy is a weapon already used in med­i­cine. Every­one knows that its well-established indi­ca­tion for the treat­ment of pso­ri­a­sis. By con­trast, it is still under eval­u­a­tion in many areas, such as address­ing the con­se­quences of graft-versus-host skin or cer­tain skin can­cers. It ‘also saw how to improve our patients with eczema who go to tan­ning. In a well-codified use, pho­tother­apy, par­tic­u­larly what is known about its action on the skin, has anti-inflammatory and immuno­sup­pres­sive. Here orig­i­nal­ity is to apply this con­cept to the inflam­ma­tory nasal mucosa of aller­gic rhini­tis to rag­weed. This study German-Hungarian in a ran­dom­ized double-blind trial of 49 patients with aller­gic rhini­tis to grass, was, of course, prac­ticed in full pollen sea­son. With­out going into details on the results, in short, it can be argued that the clin­i­cal and bio­log­i­cal cri­te­ria show a marked improve­ment in the sense of a decrease in aller­gic inflam­ma­tion. Of course, the authors con­clude that rhinopho­tothérapie could be a means of ther­apy of aller­gic rhini­tis. It remains to estab­lish its safety, cost and com­pare it to con­ven­tional treat­ment. Aller­gic rhini­tis is a com­mon com­plaint and inval­i­dat­ing dis­or­der leads on ven­ti­la­tion, sleep, smell, taste … The asso­ci­a­tion with asthma should always Asso­ci­a­tion recherchée.L asthma, aller­gic rhini­tis occurs in 10% of the sea­sonal forms, but 30% of the peren­nial forms. Sim­i­larly, too often patients with asthma not ENT dis­or­ders: 70% of asth­mat­ics suf­fer from aller­gic rhini­tis. Treat­ment of rhini­tis has ben­e­fi­cial effects for asthma? In prac­tice there are: * The sea­sonal aller­gic rhini­tis or “hay fever” usu­ally fre­quent dur­ing the period of pollen. Reaches 10% of chil­dren of school age were 15% of ado­les­cents and young adults. Thus boils down to dis­ap­pear in the elderly. * Peren­nial aller­gic rhini­tis are mainly related to house­hold aller­gens: dust mites, pets, cock­roaches. It is esti­mated between 5 and 10% of the pop­u­la­tion More­over, the diag­no­sis should be indi­cated: Nar­ici * (non-allergic rhini­tis with eosinophilic syn­drome) * The vaso­mo­tor rhini­tis * The rhintes atrophic (Rec­om­mended Elderly) * Nasos­i­nusi­enne Poly­po­sis * Triad Widal Semi­ol­ogy In its clas­sic form, semi­otics is dom­i­nated by crises in bursts of sneez­ing and watery rhi­n­or­rhea. Ocu­lar signs may also be present (pir­cote­ment, watery, itchy eyes). All these symp­toms can occur out­side the pres­ence of aller­gens. In fact, aller­gies — espe­cially to dust mites — cause a hyper­sen­si­tive or hyper­re­ac­tive nasal mucosa. Strong odors, tobacco, changes in tem­per­a­ture (+ + in the morn­ing at sun­rise), etc. … déclanchent the onset of symp­toms Aller­gic nasal mucosa makes it frag­ile and there­fore more sus­cep­ti­ble to infec­tions. In its unusual shape, aller­gic rhini­tis (mainly peren­nial) should be referred to repeat­edly ENT infec­tions, impaired nasal ven­ti­la­tion, dis­tur­bance of smell, snor­ing, asthma, chronic fatigue or a sim­ple night. REVIEW — DIAGNOSIS The appear­ance of the nasal mucosa is very diverse. Gen­er­ally “light”, but can also be a fail­ure. The sim­ple specu­lum exam­i­na­tion to ver­ify the absence of sup­pu­ra­tion of polyps, tumors, abnor­mal anatomy. Endoscopy exam­ines the entire nasal cav­ity and in par­tic­u­lar to increase the appear­ance of the mea­tus rhi­nos­i­nusi­tis aver­age. Imag­ing. is not essen­tial. In case of doubt asso­ci­ated sinusi­tis: radio and a scan­ner for breast sus­pected poly­po­sis Allergy Essen­tials is a record time. —- From screen­ing type Pha­di­atop ®, a sys­tem of envi­ron­men­tal man­age­ment: food aller­gens, aeroal­ler­gens or equiv­a­lent —- Then, from an aller­gist More rarely —- The nasal provo­ca­tion test —- The nasal cytol­ogy —- The mea­sures of nasal resis­tance TREATMENT Three com­po­nents: symp­toms, desen­si­ti­za­tion and prevention