Treatment of rhinitis

Bolesław Samoliński; Jarosław Komorowski

ISSN: 1505-8409

Przewodnik Lekarza/Guide for GPs

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8/2006
vol. 9

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abstract:

Treatment of rhinitis

Bolesław Samoliński

,

Jarosław Komorowski

Przew Lek 2006; 8: 42-49

Online publish date: 2006/11/07

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General practitioner should make the diagnostic and order therapeutic procedures in allergic rhinitis patient. Consultations are necessary when some difficulties arise, then an allergy specialist should solve the problems. Only specific immunotherapy is reserved for the allergologist. The aim of this paper is also to describe present guidelines of differentials diagnosis and treatment of chronic rhinosinusitis. According to recent publications the patomechanism of the inflammation of the nasal mucosa plays important role. Purulent chronic rhinosinusitis is the stage Th1 immunological response. Cytokin profile of NARES, allergic rhinitis and nasal polyps is typical for the Th2 response. Although immunological parameters play an important role in differential diagnosis, the clinical picture is the most important for diagnosis and planning treatment in every day practise. The paper also present the algorithm of chronic rhinosinusitis diagnosis and treatment following EAACI and ERS guidelines.

keywords:

Treatment of rhinitis

Bolesław Samoliński , Jarosław Komorowski

allergic rhinitis, NARES, nasal polyps, rhinosinusitis chronica, classification, diagnosis, treatment

Bolesław Samoliński

,

Jarosław Komorowski