Treatment Guideline Chart
Rhinitis is the inflammation of the nasal lining membranes.
Allergic rhinitis is most prevalent in childhood and adolescence.
Careful elimination of nonallergic etiologies must be done in preschool children as allergic rhinitis is unusual in <3 years of age.

Rhinitis - Allergic (Pediatric) References

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  9. MedWormhttp://www.medworm.com/rss/index.php/Allergy-%26-Immunology/3/http://www.medworm.com/rss/medicalfeeds/specialities/Allergy-Immunology.xml
  10. MedWormhttp://www.medworm.com/rss/index.php/Pediatrics/33/http://www.medworm.com/rss/medicalfeeds/specialities/Pediatrics.xml
  11. MedWormhttp://www.medworm.com/rss/index.php/Respiratory-Medicine/40/http://www.medworm.com/rss/medicalfeeds/specialities/Respiratory-Medicine.xml
  12. CKS. Allergic Rhinitis. Clinical Knowledge Summaries. http://cks.library.nhs.uk/. 2005.
  13. Becker JM. Pediatric allergic rhinitis. Medscape. http://www.emedicine.com/. May 2017.
  14. American Academy of Allergy, Asthma and Immunology. The allergy report: diseases of the atopic diathesis. http://www.aaaai.org/.
  15. Institute for Clinical Systems Improvement (ICSI). Health care guideline: diagnosis and treatment of respiratory illness in children and adults. Institute for Clinical Systems Improvement (ICSI). http://www.icsi.org. Jan 2013. Accessed 13 Mar 2011.
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  18. Milgrom H, Leung DYM. Allergic rhinitis. In: Kliegman RM, Behrman RE, Jenson HB, et al, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, PA: Saunders, Elsevier Inc; 2007.
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  21. Bousquet J1, Schünemann HJ, et al. Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs. J Allergy Clin Immunol. 2012 Nov;130(5):1049-1062. doi: 10.1016/j.jaci.2012.07.05. Accessed 20 Feb 2015. PMID: 23040884
  22. Brozek JL, Bousquet J, Baena-Cagnani CE, et al. Allergic Rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010 Sep;126(3):466-476. http://www.jacionline.org/article/S0091-6749(10)01057-2/pdf. PMID: 20816182
  23. Patel P, Patel D, Kunjibettu S, Hall N, et al. Onset of action of Ciclesonide once daily in the treatment of seasonal allergic rhinitis. Ear Nose Throat J. 2008 Jun;87(6):340-353. PMID: 18561117.
  24. Creticos PS. Subcutaneous immunotherapy for allergic disease: indications and efficacy. UpToDate. http://www.uptodate.com. Dec 2015. Accessed 27 Apr 2017.
  25. Creticos PS. Sublingual immunotherapy for allergic rhinoconjunctivitis and asthma. UpToDate. http://www.uptodate.com. Nov 2016.
  26. deShazo RD, Kemp SF. Allergic rhinitis: clinical manifestations, epidemiology, and diagnosis. UpToDate. http://www.uptodate.com. 20 Jan 2020. Accessed 27 Apr 2017.
  27. deShazo RD, Kemp SF. Pharmacotherapy of allergic rhinitis. UpToDate. http://www.uptodate.com. 21 Jun 2021. Accessed 16 Aug 2021.
  28. Greenhawt M, Oppenheimer J, Nelson M, et al. Sublingual immunotherapy: A focused allergen immunotherapy practice parameter update. Ann Allergy Asthma Immunol. 2017 Mar;118(3):276-282.e2. doi: 10.1016/j.anai.2016.12.009. PMID: 28284533
  29. Okubo K, Kurono Y, Ichimura K, et al; Japanese Society of Allergology. Japanese guidelines for allergic rhinitis 2017. Allergol Int. 2017 Apr;66(2):205-219. doi: 10.1016/j.alit.2016.11.001. PMID: 28214137
  30. Lieberman PL. Chronic allergic rhinitis. UptoDate. https://www.uptodate.com/. Aug 2017.
  31. Scadding GK, Kariyawasam HH, Scadding G, et al. BSACI guideline for the diagnosis and management of allergic and non-allergic rhinitis (revised edition 2017; first edition 2007). Clin Exp Allergy. 2017 May;47:856-889. doi: 10.1111/cea.12953. Accessed 14 Sep 2018
  32. Brozek JL, Bousquet J, Agache I, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines-2016 revision. J Allergy Clin Immunol. 2017 Oct;140(4):950-958. doi: 10.1016/j.jaci.2017.03.050. PMID: 28602936
  33. Bousquet J, Schunemann HJ, Fonseca J, et al. MACVIA-ARIA Sentinel NetworK for allergic rhinitis (MASK rhinitis): The new generation guideline implementation. Allergy. 2015 Nov;70(11):1372-92. doi: 10.1111/all.12686. Accessed 29 Mar 2019. PMID: 26148220
  34. Bousquet J, Schünemann HJ, Togias A, et al. Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidence. J Allergy Clin Immunol. 2020 Jan;145(1):70-80.e3. doi: 10.1016/j.jaci.2019.06.049. PMID: 31627910
  35. Sybilski AJ. Visual analogue scale. A simple tool for daily treatment monitoring in allergic rhinitis. Pediatr Med Rodz. 2018;14(3):277-281. doi: 10.15557/PiMR.2018.0030. Accessed 27 Jul 2020
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