nonallergic vasomotor rhinitis

Etiology

• smoke
• air pollution
• perfumes
• detergents & soaps
• solvents or fumes
• changes in temperature, light, or atmospheric pressure
  • cold air
• excercise
• emotion

Clinical manifestations

• nasal congestion
• clear rhinorrhea
• postnasal discharge
• sensitivity to irritants & temperature changes
• perennial symptoms

Laboratory

• normal serum IgE
• absence of nasal eosinophils

Management

• nasal ipratropium
  • effective for rhinorrhea, but not for nasal congestion
• nasal antihistamines &/or nasal glucocorticoids for nasal congestion in addition to rhinorrhea
• oral decongestants (pseudoephedrine) older recommendation
• nasal saline irrigation is an adjuvant therapy

More general terms

• rhinitis

Additional terms

• ipratropium (Atrovent)
• pseudoephedrine (Sudafed, Afrin, Drixoral, SudoGest)