logging in or signing up Aalergic rhinitis and VMR drkassamy Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 378 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 13, 2008 This Presentation is Public Favorites: 0 Presentation Description allergic disease of the nose and PNS Comments Posting comment... Premium member Presentation Transcript Allergic Rhinitis : Allergic Rhinitis Assistant lecturer/ Hany kassamy Mohamed drkassamy@yahoo.com Mob.: 010/ 52 61 091 Definition; : Definition; Type I hypersensitivity reaction. IgE mediated. 10-20 % Types ; : Types ; 1- Seasonal ( spring; pollens) 2- Perennial (dust mites) Etiology; : Etiology; Predisposing factors Genetic ( IgE) Exciting factors Ag (inhalant,… Aggrevating factors Inf. ,anatomical… Pathogenesis ; : Pathogenesis ; 1st exposure (+) B-lymphocytes& Plasma cells IgE sensitized mast cells. 2ND exposure Ag /Ab reaction mast cells Degranulation Humoral Rection ( LPSH ) 15mln. (N. &Ms. &Gl. &B.V.) (S,I & Br.Spasm & H2O Rh. & Edema ,N.O. ) Cellular Reaction (PM:L.E.) 6hs.48hs. Recruitment C/O: : C/O: Paroxysmal R,S,I, N.O. seasonal / perennial / Ag. Exposure + itchy eye ,palate, ear, urticaria , Br. Spasm +ve. Family history e´medications of complication : Persistent N.O.,Rec.S. O/E: : O/E: Wet ,swollen ,pale bluish MM. supra tip crease infra orbital buffiness HIT. , Nasal Polyps Investigations; : Investigations; Diagnose Detect Show allergy allergen complications - Esinophilia - Skin prick - CT PNS S.T. IgE - Nasal provo- cation - RAST(sp.IgE) Treatment ; : Treatment ; Medical +++ Surgical Medical TTT. : Medical TTT. Ag : 1- Known A- Avoidable avoid B- NOT Hyposensitization 2- Unknown (L.&S.) Steroids Anti histaminics Mast cell stabilizers Anti leukotrienes Surgical : Surgical 1- Aggrevating factors ;septoplasty 2- Complications; turbinectomy , polypectomy ,FESS. Vasomotor Rhinitis : Vasomotor Rhinitis Chronic hypertrophic rhinitis Non specific , Non allergic , perennial Pathogenesis; : Pathogenesis; Predisposing factors Autonomic Imbalance e´ P.Symp. predominance Exciting factors hormonal ( Pg. & Menopause& T3) environmental (humidity changes … drugs (contraceptives ,B.B. , vasoconstictors) stress C/P: : C/P: C/O: persistent N.O. R,S, e´out I O/E: HIT. wet swollen congested MM. TTT. : TTT. 1-Medical (L.&S.) Steroids Anticholinergic Daflon 500 mg 1x2 2- Surgical Turbinectomy ( partial, SMD, Laser ) ?? vidian neurectomy Slide 18: Many Thanks A lot of Thanks Thank you You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Aalergic rhinitis and VMR drkassamy Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 378 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 13, 2008 This Presentation is Public Favorites: 0 Presentation Description allergic disease of the nose and PNS Comments Posting comment... Premium member Presentation Transcript Allergic Rhinitis : Allergic Rhinitis Assistant lecturer/ Hany kassamy Mohamed drkassamy@yahoo.com Mob.: 010/ 52 61 091 Definition; : Definition; Type I hypersensitivity reaction. IgE mediated. 10-20 % Types ; : Types ; 1- Seasonal ( spring; pollens) 2- Perennial (dust mites) Etiology; : Etiology; Predisposing factors Genetic ( IgE) Exciting factors Ag (inhalant,… Aggrevating factors Inf. ,anatomical… Pathogenesis ; : Pathogenesis ; 1st exposure (+) B-lymphocytes& Plasma cells IgE sensitized mast cells. 2ND exposure Ag /Ab reaction mast cells Degranulation Humoral Rection ( LPSH ) 15mln. (N. &Ms. &Gl. &B.V.) (S,I & Br.Spasm & H2O Rh. & Edema ,N.O. ) Cellular Reaction (PM:L.E.) 6hs.48hs. Recruitment C/O: : C/O: Paroxysmal R,S,I, N.O. seasonal / perennial / Ag. Exposure + itchy eye ,palate, ear, urticaria , Br. Spasm +ve. Family history e´medications of complication : Persistent N.O.,Rec.S. O/E: : O/E: Wet ,swollen ,pale bluish MM. supra tip crease infra orbital buffiness HIT. , Nasal Polyps Investigations; : Investigations; Diagnose Detect Show allergy allergen complications - Esinophilia - Skin prick - CT PNS S.T. IgE - Nasal provo- cation - RAST(sp.IgE) Treatment ; : Treatment ; Medical +++ Surgical Medical TTT. : Medical TTT. Ag : 1- Known A- Avoidable avoid B- NOT Hyposensitization 2- Unknown (L.&S.) Steroids Anti histaminics Mast cell stabilizers Anti leukotrienes Surgical : Surgical 1- Aggrevating factors ;septoplasty 2- Complications; turbinectomy , polypectomy ,FESS. Vasomotor Rhinitis : Vasomotor Rhinitis Chronic hypertrophic rhinitis Non specific , Non allergic , perennial Pathogenesis; : Pathogenesis; Predisposing factors Autonomic Imbalance e´ P.Symp. predominance Exciting factors hormonal ( Pg. & Menopause& T3) environmental (humidity changes … drugs (contraceptives ,B.B. , vasoconstictors) stress C/P: : C/P: C/O: persistent N.O. R,S, e´out I O/E: HIT. wet swollen congested MM. TTT. : TTT. 1-Medical (L.&S.) Steroids Anticholinergic Daflon 500 mg 1x2 2- Surgical Turbinectomy ( partial, SMD, Laser ) ?? vidian neurectomy Slide 18: Many Thanks A lot of Thanks Thank you