101 한방안이비인후피부과학회지 제 27 권 제 4 호 (2014 년 11 월 ) J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27(4):101-109 pISSN 1738-6640 eISSN 2234-4020 http://www.ood.or.kr http://dx.doi.org/10.6114/jkood.2014.27.4.101 Original Article / 원저 알레르기 비염과 비알레르기 비염의 감별 진단 및 관리 : 병력 청취 및 진찰 소견에 대한 최신지견 중심으로 홍유진·신준혁·정우열·남혜정·김규석·김윤범 경희대학교 한의과대학 안이비인후피부과 교실 The Differential Diagnosis between Allergic and Nonallergic Rhinitis and Management : Focusing on Current update of Medical History and Physical Examination Eu-Gene Hong·Jun-Hyuk Shin·Woo-Yeol Jeong·Hae-Jeong Nam·Kyu-Seok Kim·Yoon-Bum Kim Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyunghee University Abstract Objective : The purpose of this study is to summarize the differential diagnosis between allergic and nonallergic rhinitis and suggest management. Methods : We reviewed the current update of medical history and physical examination for allergic and nonallergic rhinitis. Then we analyzed clinical characteristics according to onset age, gender incidence and state of nasal symptoms, etc. Results : 1. Patients with nonallergic rhinitis tend to develop symptoms at a later age(>35 years of age), and there is a female-to-male incidence ratio for nonallergic rhinitis of 2:1 to 3:1. 2. Patients with nonallergic rhinitis report nasal congestion, nasal rhinorrhea and more often report postnasal drip rather than sneezing and itching, which are predominant symptoms of allergic rhinitis. And the nasal mucosa in nonallergic rhinitis usually looks normal. ⓒ 2014 the Society of Korean Medicine Ophthalmology & Otolaryngology & Dermatology This is an Open Access journal distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/license/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Transcript
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한방안이비인후피부과학회지 제27권 제4호(2014년 11월)J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27(4):101-109pISSN 1738-6640 eISSN 2234-4020
http://www.ood.or.kr
http://dx.doi.org/10.6114/jkood.2014.27.4.101
Original Article / 원저
알레르기 비염과 비알레르기 비염의 감별 진단 및 관리: 병력 청취 및 진찰 소견에 대한 최신지견 중심으로
홍유진·신준혁·정우열·남혜정·김규석·김윤범
경희대학교 한의과대학 안이비인후피부과 교실
The Differential Diagnosis between Allergic and Nonallergic Rhinitis and
Management : Focusing on Current update of Medical History and Physical Examination
Eu-Gene Hong·Jun-Hyuk Shin·Woo-Yeol Jeong·Hae-Jeong Nam·Kyu-Seok Kim·Yoon-Bum Kim
Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine,
College of Korean Medicine, Kyunghee University
Abstract
Objective : The purpose of this study is to summarize the differential diagnosis between allergic and nonallergic
rhinitis and suggest management.
Methods : We reviewed the current update of medical history and physical examination for allergic and
nonallergic rhinitis. Then we analyzed clinical characteristics according to onset age, gender incidence and state of
nasal symptoms, etc.
Results : 1. Patients with nonallergic rhinitis tend to develop symptoms at a later age(>35 years of age), and
there is a female-to-male incidence ratio for nonallergic rhinitis of 2:1 to 3:1.
2. Patients with nonallergic rhinitis report nasal congestion, nasal rhinorrhea and more often report
postnasal drip rather than sneezing and itching, which are predominant symptoms of allergic
rhinitis. And the nasal mucosa in nonallergic rhinitis usually looks normal.
ⓒ 2014 the Society of Korean Medicine Ophthalmology & Otolaryngology & DermatologyThis is an Open Access journal distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/license/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
한방안이비인후피부과학회지 제27권 제4호(2014년 11월)
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3. Patients with nonallergic rhinitis have few complaints of concomitant symptoms of allergic symptoms
and the absence of other atopic diseases in the patient or in the family supports the diagnosis of
nonallergic rhinitis.
4. Common triggers of nonallergic rhinitis are nonspecific irritant exposures and many patients with
nonallergic rhinitis find that antihistamines have no benefit.
Conclusions : The differential diagnosis between allergic and nonallergic rhinitis is clinical and relies on a
detailed medical history and physical examination.
Key words : psoriasis; pathogenesis; immunohistochemical; Korean medicine.