A 32-year-old man consults as he is troubled with worsening sneezing and an itchy nose. He thought it was due to hay fever, but his symptoms have persisted through to the winter without any real improvement. He has tried a nasal steroid spray in the past but has never derived any benefit from it. You diagnose perennial rhinitis. What are the management options?
Perennial rhinitis - References
- Walker SM, et al. Immunotherapy for allergic rhinitis. Clin Exp Allergy. 2011 Sep;41(9):1177-200
- Costa DJ, et al. Guidelines for allergic rhinitis need to be used in primary care. Prim Care Respir J. 2009 Dec;18(4):250-7.
- Angier E, et al. Management of allergic and non-allergic rhinitis: a primary care summary of the BSACI guideline. Prim Care Respir J. 2010 Sep;19(3):217-22.
- Nasser M, et al. Antihistamines used in addition to topical nasal steroids for intermittent and persistent allergic rhinitis in children. Cochrane Database Syst Rev. 2010 Jul 7;(7):CD006989.
- Allergic rhinitis. Clinical Knowledge Summaries, 2018
- Sinusitis. Clinical Knowledge Summaries, 2018
- Chronic sinusitis. Clinical Knowledge Summaries, 2018