Rhinitis differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Rhinitis is a very common disease that is frequently overlooked or undertreated.[1] It is associated with several comorbidities which can have significant impact on the quality of life. It can also be the initial presentation of overt systemic illnesses which can be potentially fatal.[2] It is important to differentiate rhinitis from other conditions micmicking the symptoms of rhinitis.
Differential Diagnosis
The following conditions can present with symptoms that are similar to those found in rhinitis:[3][4][5][6]
- Nasal polyps
- Mechanical/structural factors such as:
- Deviated nasal septum/septal wall anomalies
- Adenoidal hypertrophy
- Nasal tumors (benign and malignant)
- Foreign bodies- Unilateral, mucopurulent rhinorrhea in children could be as a result of insertion of foreign objects into the nostril.
- Trauma
- Anatomical variants in the ostiomeatal complex
- Choanal atresia
- Cleft palate
- Pharyngeal reflux (laryngopharyngo-nasal reflux)
- Metabolic conditions such as acromegaly
- Cerebrospinal fluid rhinorrhea
- Ciliary dyskinesia syndrome- Chronic rhinitis with mucopurulent secretion which manifests from birth could be suggestive of primary ciliary dyskinesia.
References
- ↑ Skoner DP (2001). "Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis". J Allergy Clin Immunol. 108 (1 Suppl): S2–8. PMID 11449200.
- ↑ Romeo, Jonathan; Dykewicz, Mark (2014). "Chapter 9:Differential Diagnosis of Rhinitis and Rhinosinusitis". Diseases of the Sinuses. Springer New York. pp. 133–152. ISBN 978-1-4939-0265-1.
- ↑ Dykewicz MS, Hamilos DL (2010). "Rhinitis and sinusitis". J Allergy Clin Immunol. 125 (2 Suppl 2): S103–15. doi:10.1016/j.jaci.2009.12.989. PMID 20176255 20176255 Check
|pmid=
value (help). - ↑ Sacre-Hazouri JA (2012). "[Chronic rhinosinusitis in children]". Rev Alerg Mex. 59 (1): 16–24. PMID 24007929.
- ↑ Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A; et al. (2008). "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)". Allergy. 63 Suppl 86: 8–160. doi:10.1111/j.1398-9995.2007.01620.x. PMID 18331513.
- ↑ Rotiroti, Giuseppina; Scadding, Glenis (July 2016). "Allergic Rhinitis-an overview of a common disease". Paediatrics and Child Health. Volume 26 (Issue 7): 298–303. Retrieved January 20, 2017.