Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group
Background: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of...
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| Format: | Article |
| Language: | English |
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AOSIS
2023-10-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5806 |
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| author | Guy A. Richards Marinda McDonald Claudia L. Gray Pieter de Waal Ray Friedman Maurice Hockman Sarah J. Karabus Cornelia M. Lodder Tshegofatso Mabelane Sylvia M. Mosito Ashen Nanan Jonny G. Peter Traugott H.C. Quitter Riaz Seedat Sylvia van den Berg Andre van Niekerk Eftyhia Vardas Charles Feldman |
| author_facet | Guy A. Richards Marinda McDonald Claudia L. Gray Pieter de Waal Ray Friedman Maurice Hockman Sarah J. Karabus Cornelia M. Lodder Tshegofatso Mabelane Sylvia M. Mosito Ashen Nanan Jonny G. Peter Traugott H.C. Quitter Riaz Seedat Sylvia van den Berg Andre van Niekerk Eftyhia Vardas Charles Feldman |
| author_sort | Guy A. Richards |
| collection | DOAJ |
| description | Background: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of AR is often overlooked, and appropriate therapy is neglected. The availability of effective medications and knowledge as to management are often lacking in both public and private health systems.
Methods: This review is based on a comprehensive literature search and detailed discussions by the South African Allergic Rhinitis Working Group (SAARWG).
Results: The working group provided up-to-date recommendations on the epidemiology, pathology, diagnosis and management of AR, appropriate to the South African setting.
Conclusion: Allergic rhinitis causes significant, often unappreciated, morbidity. It is a complex disease related to an inflammatory response to environmental allergens. Therapy involves education, evaluation of allergen sensitisation, pharmacological treatment, allergen immunotherapy (AIT) and evaluation of the success of interventions. Regular use of saline; the important role of intranasal corticosteroids, including those combined with topical antihistamines and reduction in the use of systemic steroids are key. Practitioners should have a thorough knowledge of associated morbidities and the need for specialist referral.
Contribution: This review summarises the latest developments in the diagnosis and management of AR such that it is a resource that allows easy access for family practitioners and specialists alike. |
| format | Article |
| id | doaj-art-c951aa5bb3f649dcbff1a3eb9fc2425e |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-c951aa5bb3f649dcbff1a3eb9fc2425e2025-08-20T03:43:57ZengAOSISSouth African Family Practice2078-61902078-62042023-10-01651e1e1110.4102/safp.v65i1.58064359Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working GroupGuy A. Richards0Marinda McDonald1Claudia L. Gray2Pieter de Waal3Ray Friedman4Maurice Hockman5Sarah J. Karabus6Cornelia M. Lodder7Tshegofatso Mabelane8Sylvia M. Mosito9Ashen Nanan10Jonny G. Peter11Traugott H.C. Quitter12Riaz Seedat13Sylvia van den Berg14Andre van Niekerk15Eftyhia Vardas16Charles Feldman17Department of Pulmonology, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgThe Allergy Clinic, Blairgowrie, JohannesburgDepartment of Paediatric Allergy, Faculty of Child Health, University of Cape Town, Cape Town; and, Department of Paediatric Allergy, Private Practice, Vincent Palotti Hospital, Cape TownDepartment of Allergy, Pulmonology and Immunology, Faculty of Health Sciences, University of the Free State, Bloemfontein; and, Private Practice, Mediclinic Panorama, Cape TownDepartment of Otorhinolaryngology, Private Practice, Mediclinic Sandton, SandtonJohannesburg Cochlear Implant Programme, Netcare Linksfield Hospital, JohannesburgAllergy Division, Faculty of Health Sciences, Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape TownDepartment of Allergy and Asthma Clinic, Private Practice, GeorgeDepartment of Internal Medicine, Faculty of Health Sciences, Sefako Makgato Health Sciences University, PretoriaDepartment of Otolaryngology, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Otorhinolaryngology, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Medicine, Faculty of Health sciences, University of Cape Town, Cape TownDepartment of Otorhinolaryngology – Head and Neck Surgery, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Otorhinolaryngology, Faculty of Health Sciences, University of the Free State, BloemfonteinDepartment of Immunology, Ampath Laboratories, Pretoria; and Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Paediatrics and Child Health, Faculty of Health Sciences, University of Pretoria, Pretoria; Departments of Inborn Errors of Immunity and Allergology, Faculty of Sciences, University of Pretoria, Pretoria; and Department of Immunology, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Clinical Virology, Faculty of Health Sciences, University of Stellenbosch, Stellenbosch; and Department of Virology Allergy and Immunology, Lancet Laboratories, JohannesburgDepartment of Medicine, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgBackground: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of AR is often overlooked, and appropriate therapy is neglected. The availability of effective medications and knowledge as to management are often lacking in both public and private health systems. Methods: This review is based on a comprehensive literature search and detailed discussions by the South African Allergic Rhinitis Working Group (SAARWG). Results: The working group provided up-to-date recommendations on the epidemiology, pathology, diagnosis and management of AR, appropriate to the South African setting. Conclusion: Allergic rhinitis causes significant, often unappreciated, morbidity. It is a complex disease related to an inflammatory response to environmental allergens. Therapy involves education, evaluation of allergen sensitisation, pharmacological treatment, allergen immunotherapy (AIT) and evaluation of the success of interventions. Regular use of saline; the important role of intranasal corticosteroids, including those combined with topical antihistamines and reduction in the use of systemic steroids are key. Practitioners should have a thorough knowledge of associated morbidities and the need for specialist referral. Contribution: This review summarises the latest developments in the diagnosis and management of AR such that it is a resource that allows easy access for family practitioners and specialists alike.https://safpj.co.za/index.php/safpj/article/view/5806allergic rhinitisintranasal corticosteroidsantihistaminesimmunotherapysaline rinse |
| spellingShingle | Guy A. Richards Marinda McDonald Claudia L. Gray Pieter de Waal Ray Friedman Maurice Hockman Sarah J. Karabus Cornelia M. Lodder Tshegofatso Mabelane Sylvia M. Mosito Ashen Nanan Jonny G. Peter Traugott H.C. Quitter Riaz Seedat Sylvia van den Berg Andre van Niekerk Eftyhia Vardas Charles Feldman Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group South African Family Practice allergic rhinitis intranasal corticosteroids antihistamines immunotherapy saline rinse |
| title | Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group |
| title_full | Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group |
| title_fullStr | Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group |
| title_full_unstemmed | Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group |
| title_short | Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group |
| title_sort | allergic rhinitis review of the diagnosis and management south african allergic rhinitis working group |
| topic | allergic rhinitis intranasal corticosteroids antihistamines immunotherapy saline rinse |
| url | https://safpj.co.za/index.php/safpj/article/view/5806 |
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