Allergic rhinitis is a common manifestation of atopy that significantly reduces quality of life. A careful history and examination, along with appropriate investigations, are needed to determine the most likely allergens and to direct treatment. Recent advances in allergen immunotherapy show promise and the ‘thunderstorm asthma’ phenomenon emphasises the need for action plans for patients with comorbid asthma. Intranasal corticosteroids and
oral antihistamines are considered first-line therapies.
Modern Medicine – Issue 4 2019