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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group
South African Family Practice, Volume 65, No. 1, Article a5806, Year 2023
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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. © 2023, AOSIS (pty) Ltd. All rights reserved.
Authors & Co-Authors
Richards, Guy Antony
South Africa, Johannesburg
University of the Witwatersrand
McDonald, Marinda
South Africa, Johannesburg
The Allergy Clinic
Gray, Claudia Liesel
South Africa, Cape Town
University of Cape Town
South Africa, Cape Town
Vincent Palotti Hospital
de Waal, Pieter J.
South Africa, Bloemfontein
University of the Free State
South Africa, Parow
Panorama Medi-clinic
Friedman, Raymond L.
Unknown Affiliation
Hockman, Maurice H.
South Africa, Sandton
Netcare
Karabus, Sarah J.
South Africa, Cape Town
University of Cape Town
Lodder, Cornelia M.
Unknown Affiliation
Mabelane, Tshegofatso
South Africa, Pretoria
Sefako Makgato Health Science University
Nanan, Ashen
South Africa, Johannesburg
University of the Witwatersrand
Peter, Jonathan Grant
South Africa, Cape Town
University of Cape Town
Seedat, R. Y.
South Africa, Bloemfontein
University of the Free State
van den Berg, Sylvia
South Africa, Pretoria
Ampath Laboratories
South Africa, Pretoria
University of Pretoria
van Niekerk, Andre
South Africa, Pretoria
University of Pretoria
Vardas, Eftyhia
South Africa, Stellenbosch
Stellenbosch University
South Africa, Johannesburg
Lancet Laboratories
Feldman, Charles
South Africa, Johannesburg
University of the Witwatersrand
Statistics
Authors: 16
Affiliations: 12
Identifiers
Doi:
10.4102/safp.v65i1.5806
ISSN:
20786190
Research Areas
Cancer
Disability
Health System And Policy