Ms. Dykewicz et S. Fineman, Executive summary of Joint Task Force Practice Parameters on Diagnosis andManagement of Rhinitis, ANN ALLER A, 81(5), 1998, pp. 463-468
Rhinitis is a significant cause of widespread morbidity, medical treatment
costs, reduced work productivity and lost school days. Although sometimes m
istakenly viewed as a trivial disease, symptoms of allergic and non-allergi
c rhinitis may significantly impact a patient's quality of life, by causing
fatigue, headache, cognitive impairment and other systemic symptoms. In ad
dition, many antihistamines commonly used for treatment can themselves caus
e performance impairment that may contribute to fatal automobile accidents,
work place accidents, decreased work productivity and in children, impaire
d school performance. Appropriate manage ment of rhinitis may be an importa
nt component in effective management of coexisting or complicating respirat
ory conditions, such as asthma, sinusitis, or chronic otitis media. Rhiniti
s may be caused by allergic, non-allergic, infectious, hormonal, occupation
al, and other factors. Defining the causes of rhinitis in an individual is
important because different rhinitis syndromes may require different therap
eutic approaches for optimal management, an important consideration as more
treatment options become available.
This Executive Summary reviews key points about diagnosis and management of
rhinitis contained in the comprehensive document, Diagnosis and Management
of Rhinitis: Complete Guidelines of Joint Task Force on Practice Parameter
s in Allergy, Asthma and Immunology, and Joint Task Force Algorithm and Ann
otations for Diagnosis and Management of Rhinitis. These documents represen
t a consensus opinion of the Joint Task Force on Practice Parameters in All
ergy, Asthma and Immunology, a national panel co-sponsored by the American
Academy of Allergy, Asthma and Immunology, the American College of Allergy,
Asthma and Immunology, and the Joint Council on Allergy, Asthma and Immuno
logy.