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Kronisk rhinitt

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
En heterogen, ikke-allergisk rhinitt karakterisert ved vedvarende purulent sekresjon, nesetetthet og trykk over bihuler
Forekomst:
Ganske vanlig tilstand
Symptomer:
Typiske symptomer er vedvarende nasal sekresjon, nesetetthet og ømhet/smerter over bihuler
Funn:
Purulent nasal sekresjon. Ande kliniske funn kan være fraværende, men hos noen foreligger hypertrofi av slimhinnen over nedre conchae, noe som medfører et trangt eller obstruert lumen
Diagnostikk:
Ev. tilleggsundersøkelse kan være allergitesting
Behandling:
Eliminere ev. utløsende faktorer. Ev. medikamentell behandling, ev. kortisonholdig nesespray, kirurgisk drenasje er unntaksvis aktuelt
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  9. Brandt D, Bernstein JA. Questionnaire evaluation and risk factor identification for nonallergic vasomotor rhinitis. Ann Allergy Asthma Immunol 2006; 96: 526. PubMed  
  10. Alt JA, DeConde AS, Mace JC, et al. Quality of life in patients with chronic rhinosinusitis and sleep dysfunction undergoing endoscopic sinus surgery: A pilot investigation of comorbid obstructive sleep apnea. JAMA Otolaryngol Head Neck Surg 2015. doi:10.1001/jamaoto.2015.1673 DOI  
  11. Carrie S, O'Hara J, Fouweather T, et al. Clinical effectiveness of septoplasty versus medical management for nasal airways obstruction: Multicentre, open label, randomised controlled trial.. BMJ 2023; 383: e075445. pmid:37852641 PubMed  
  12. Hampel FC, Ratner PH, Van Bavel J, et al. Double-blind, placebo-controlled study of azelastine and fluticasone in a single nasal spray delivery device. Ann Allergy Asthma Immunol. 2010;105(2):168-173. PubMed  
  13. Chong LY, Piromchai P, Sharp S, et al. Biologics for chronic rhinosinusitis. Cochrane Database Syst Rev. 2020 Feb 27;2:CD013513. doi: 10.1002/14651858.CD013513.pub2. DOI  
  14. Segboer C, Gevorgyan A, Avdeeva K, et al. Intranasal corticosteroids for non-allergic rhinitis. Cochrane Database Syst Rev. 2019;2019(11):CD010592. Published 2019 Nov 2. The Cochrane Library  
  15. Rondón C, Doña I, Torres MJ, et al. Evolution of patients with nonallergic rhinitis supports conversion to allergic rhinitis. J Allergy Clin Immunol 2009; 123:1098. PubMed  
  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Stein Helge Glad Nordahl, øre-nese-hals spesialist, overlege Haukeland sykehus, Bergen