A worsening case of perennial rhinitis

How do you advise a 32-year-old man with perennial rhinitis troubled by worsening sneezing and an itchy nose?

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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?

Picture from case-based quiz: Perennial rhinitis -OnMedica | Man sneezing in a tissue, outside


Perennial rhinitis - References

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