Allergic Rhinitis | Atrophic Rhinitis |
Definition: It is an IgE, mediated hypersensitivity disease of the nasal mucous membrane. | Definition: It is a chronic inflammatory nasal disease, characterized by progressive atrophy of nasal mucosa and turbinates. |
It can be seasonal or perennial. | It has 2 types: Type I- Endarteritis and periarteritis. Type II- Vasodilatation of capillaries. |
Occurs more in cold environment. | Occurs in tropical countries. |
Not related to nutrition especially Iron, Vit A deficiency. | Nutrition is an important factor. |
Psychological stress known to precipitate allergy. | Not related to psychological factors. |
Clinical Features: - Nasal irritation.
- Watery discharge.
- Sneezing episodes.
- Anosmia.
| Clinical Features: - Foul smell (Ozaena).
- Dryness with nasal blockage.
- Epistaxis.
- Anosmia.
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Signs: Anterior and posterior rhinoscopy reveals, turbinate hypertrophy, congested mucosa and ethmoidal polyps may be present. | Signs: Anterior and posterior rhinoscopy reveals, greenish crusts, with roomy nostrils, foul smell and pale nasal mucosa. |
Medical treatment - Avoidance.
- Desensitization.
- Antihistaminics.
- Local and systemic corticosteroids.
- Decongestants.
- Local chemical cautery.
- Auto immune therapy.
| Medical treatment: - Glucose in glycerin nasal drops.
- Alkaline nasal douche.
- Kemicetine antiozaenal drops.
- Youngs operation.
- Stellate ganglion block.
- Modified Young’s surgery.
- Raghav Sharan’s surgery.
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