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Review
. 2024 Jul 31;14(8):965.
doi: 10.3390/life14080965.

Local Allergic Rhinitis-A Challenge for Allergology and Otorhinolaryngology Cooperation (Scoping Review)

Ovidiu Berghi  1 , Mihai Dumitru  2 , Romica Cergan  3 , Gabriela Musat  4 , Crenguta Serboiu  5 , Daniela Vrinceanu  2
Affiliations
Review

Local Allergic Rhinitis-A Challenge for Allergology and Otorhinolaryngology Cooperation (Scoping Review)

Ovidiu Berghi et al. Life (Basel). .

Abstract

Local allergic rhinitis (LAR) represents a medical provocation for allergists and otorhinolaryngologists. LAR is considered to be a subtype of allergic rhinitis (AR) that affects a great percentage of patients who were, for decades, diagnosed as having chronic non-allergic rhinitis. The clinical picture is represented by rhinorrhea, sneezing, and nasal itching correlated with specific pollen season or dust, mold, or pet interior exposure. Usual assessment of AR (skin prick testing and serum IgE assessment) produces negative results. Specialized centers in allergology and ENT around the globe use a nasal allergen challenge, assessment of local IgE, basophil activation test (BAT), and nasal cytology in the diagnostic approach to the disease, taking into account their current limitations. The impact of LAR on quality-of-life indicators is the same as in AR. Treatment for LAR is similar to that for AR and is the same as for AR: allergen exposure avoidance, drug therapy, and allergen immunotherapy. This scoping review gathers the current up-to-date open access evidence available on PubMed on the subject of LAR.

Keywords: ENT; allergology; local allergic rhinitis.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flow chart of the present scoping review on LAR.
Figure 2
Figure 2
LAR prevalences in different countries. Colored countries are those for which data are available according to the studies included in this scoping review. The darkest countries are those for which the prevalence is the highest.
See this image and copyright information in PMC

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