Find An Allergist / Immunologist | Pollen Levels | Journal of Allergy and Clinical Immunology | Annual Meeting  
Contact    About AAAAI   

Search   
Professionals
Featured Resources »

Academy CAN!

Allied Health
Articles of Interest


Ask the Expert

Become a Member

Careers in A/I

Job Placement Center

New Research

Pay for Performance (P4P) Webcast



TOPICS
Overview
Allergic bronchopulmonary aspergilllosis (ABPA)
Anaphylaxis - Updated
Asthma
Asthma Diagnosis
Environmental diagnosis
and management
Asthma Treatment:
Immunotherapy
Asthma Treatment:
Preventing Morbidity
- Updated
Asthma Treatment:
Preventing Mortality

- Updated
Asthma Treatment:
Adherence
Occupational Asthma
Conjunctivitis
Cough
Dermatitis
Atopic - Updated
Contact
Drug Allergy - Updated
Food Allergy - Updated
Hypersensitivity Pneumonitis
Insect Hypersensitivity
Occupational Diseases
Primary Immune Deficiency - Updated
Rhinitis/Rhinosinusitis
Rhinitis - Updated
Sinusitis
Urticaria/Angioedema - Updated
How the Allergist/Immunologist Can Help:
Consultation and Referral Guidelines Citing the Evidence

Disease Group: Rhinitis
  1. Patients with prolonged or severe manifestations of rhinitis, with co-morbid conditions e.g. asthma, recurrent sinusitis, with symptoms interfering with quality of life and/or ability to function, or who have found medications to be ineffective or have had adverse reactions to medications. 1-3
    [Rationale]
  2. Patients with nasal polyps
    [Rationale]
  3. In addition to above guidelines, consider referral of the child with allergic rhinitis because of the potential preventive role of allergen immunotherapy in progression of allergic disease.
    [Rationale]





© 1996-2009 · All Rights Reserved · American Academy of Allergy Asthma & Immunology
Disclaimers and Contact Information · Site Map







Allergist/immunologist care for rhinitis is associated with improved quality of life, compliance, and satisfaction with care. 4,5

Allergy cannot be diagnosed on the basis of history alone6,7. Allergist/immunologists are highly trained to interpret the clinical history and allergy diagnostic tests in both upper and lower airway conditions8.

Treatment for co-morbid rhinitis may improve asthma outcomes.9

Allergist/immunologists have familiarity with the wide variety of both indoor and outdoor aeroallergen exposures that have been shown to impact on the upper respiratory tree and have the expertise to provide avoidance education8.

Allergen immunotherapy may be highly effective in controlling the symptoms of allergic rhinitis10. Allergen immunotherapy may provide lasting benefits after immunotherapy is discontinued. 11
Direct outcome

Diagnostic

Indirect outcome (avoidance)

Indirect outcome (immunotherapy)
Allergist/immunologists are specifically trained and experienced in the medical management of nasal polyps, including intranasal steroids, oral steroids, and treatment of complicating sinusitis 1,8
Indirect outcome
(pharmacologic therapy)
Allergen immunotherapy has been shown to reduce development of new sensitizations and asthma in children with allergic rhinitis compared to children with allergic rhinitis treated with medication alone.12
Indirect outcome
(immunotherapy)