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Allergic Rhinitis

Diagnosis and Management

Division of Allergy-Clinical Immunology, Department of Pediatrics, University of Southern California School of Medicine and the Children's Hospital of Los Angeles, Los Angeles, California

Allergic rhinitis affects up to 20 per cent of the pediatric population and occurs in children of all ages. Secondary infection, dental malocciusion and a variety of other sequelae may complicate the primary disorder. The diagnosis of allergic rhinitis is based on historic features, physical findings and selected laboratory investigations. Treatment may involve antigen avoidance programs and immunotherapy. However, pharmacotherapy with antihistamines, sym pathomimetics and, in severe cases, corticosteroids, is most frequently used.

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