Rhinitis medicamentosa

The Laryngoscope
R J ToohillT P Belson

Abstract

The diagnosis of rhinitis medicamentosa was made in 130 patients seen over a 10 year period from July 1967 to June 1977. There was an incidence of 1% in our otolaryngological practice. Patients had been taking the causal medication for an average of 21.4 months. There were 73 males and 57 females with the peak incidence in young and middle-age adults. The primary offending medications were decongestant nasal sprays in 85 patients, decongestant drops in 33, and a combination of these drugs in 12 patients. The major reasons for self-medication were 1. deviated nasal septum in 40 patients, 2. an acute upper respiratory infection in 33, 3. allergy in 18, 4. miscellaneous causes in 24 and 5. unknown in 15 patients. The initial management in addition to avoidance of the medication consisted of systemic antibiotics, decongestants, antihistamines, and sedatives depending on the severity of the rhinitis and the presence of secondary infection. Later treatment consisted of correction of the deviated septums, allergic management, and supportive care. Eight patients were considered to have complications of the disease by development of chronic ethmoiditis and nasal polyposis. The pharmacologic properties of the causal agents are thoroughly...Continue Reading

Citations

Jul 2, 2004·Srpski arhiv za celokupno lekarstvo·Dusanka MilosevićMilan Vasić
May 1, 1988·The Journal of Laryngology and Otology·K Holmberg, M Bende
Jan 1, 1997·The Laryngoscope·J K YooK H Calhoun
Jun 21, 2017·Vestnik otorinolaringologii·E V Nosulya
Jul 7, 2020·Vestnik otorinolaringologii·O D OstroumovaA Yu Ryazanova
Dec 1, 1992·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M D Lekas
Sep 14, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B J FergusonE Rubinstein
May 1, 1995·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·G K Scadding
Jan 1, 1997·American Journal of Rhinology·P M Graf, H Hallén

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