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"Nonallergic rhinitis" (NAR) is defined by intermittent or persistent nasal symptoms without evidence of immunoglobulin E-mediated sensitization to relevant aeroallergens. The largest subgroup is idiopathic, and is characterized by nasal hyperreactivity to nonspecific environmental triggers, including temperature, humidity, and chemical exposures.. Peter W. Hellings, in Implementing Precision Medicine in Best Practices of Chronic Airway Diseases, 2019. Abstract. Rhinitis can be subdivided into three main phenotypes based on history and clinical examination: allergic rhinitis (AR), infectious rhinitis (IR), and nonallergic noninfectious rhinitis (NAR).. Traditional triggers such as cat or dog exposure should be absent. Symptoms and examination findings can overlap between perennial allergic rhinitis and non-allergic rhinitis (NAR), with nasal turbinates swollen and beefy red, scant mucus, cobblestoning of posterior pharynx from chronic post-nasa.
Purpose of review: Allergic rhinitis and nonallergic rhinitis (NAR) are common disorders, which have been considered as potential risk factors for obstructive sleep apnea (OSA).. lergic and nonallergic disorders, and this over-lap can confound the diagnosis and therapy. Studies suggest that when clinicians use the history and physical examination alone in evaluating possible allergic disease, the accu-. Abstract. The nasal provocation test (NPT) could be more extensively used in the diagnosis of allergic rhinitis by practicing physicians. However, the procedure has not been standardized, and has mainly been utilized for scientific purposes in the US..
Topical nasal corticosteroids are unquestionably effective for allergic rhinitis. Clinicians also prescribe them for nonallergic rhinitis, but their effectiveness for that condition is less clear..