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Presentation and differential diagnosis of allergic rhinitis

Allergic rhinitis can impact on patients' quality of life, sleep, work and education, write Dr Steve Holmes and Jane Scullion

This is the first in a series of three articles which will discuss the presentation and treatment of allergic rhinitis. This piece will cover the presentation and differential diagnosis of allergic rhinitis and how to make a good diagnosis.

The second article will concentrate on therapeutic options in allergic rhinitis and the third article will look at the management of asthma and allergic rhinitis.

History and definition

Some clinicians believe the diagnosis and management of allergic rhinitis is unimportant and that it should be treated by patients or their family members with over-the-counter preparations.1

However, it is worth remembering that allergic rhinitis can have a significant impact on the quality of life and work of adults who suffer from it and can impact on children and adolescents, affecting sleep, education and activity.2,3,4

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