ARIA QUIDELINES ON
MANAGEMENT OF
ALLERGIC RHINITIS
MSD
Be well
CLASSIFICATION OF RHINITIS
RHINITIS
ALLERGIC
•SEASONAL
•PERENNIAL
•OCCUPATIONAL
INFECTIVE
•ACUTE
•CHRONIC
OTHER,INCLUDES
•EOSINOPHILIC
•STRUCTURAL
•AUTONOMIC
•HORMONAL
•DRUG-INDUCED
•ATROPIC
Classifications of allergic rhinitis
• Intermittent (seasonal - acute - occasional)
• Occasional symptoms lasting <four days per
week or ≤ four weeks
• Persistent (perennial - chronic - long duration)
• Symptoms lasting > four days per week and
> four weeks
New classification of allergic rhinitis:
Severity - ARIA
• Mild
• Normal sleep
• Normal daily activities, sport, leisure
• Normal work and school
• No troublesome symptoms
New classification of allergic rhinitis:
Severity - ARIA
• Moderate - Severe
• Abnormal sleep
• Impairment of daily activities, sport, leisure
• Problems caused at work or school
• Troublesome symptoms
2007
Interrelationships Between Allergic Rhinitis
and Associated Airway Diseases
Upper Respiratory
Infection
Otitis Media
With Effusion
Allergic
Rhinitis
Asthma
Nasal
Polyposis
Sinusitis
Epidemiologic studies have shown that up to 78% of patients with asthma
have nasal symptoms and that rhinitis is a nearly universal phenomenon
in patients with allergic asthma.
Adapted from Spector SL. J Allergy Clin Immunol, 1997.
Treatment of allergic rhinitis (ARIA)
Allergic Rhinitis and its Impact on Asthma
mild
intermittent
moderate
severe
intermittent
mild
persistent
moderate
severe
persistent
intra-nasal steroid
local cromone
oral or local non-sedative H1-blocker
intra-nasal decongestant (<10 days) or oral decongestant
allergen and irritant avoidance
immunotherapy