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CLINICAL FEATURES OF PATIENTS WITH CHRONIC RHINITIS SYMPTOMS IN THE ABSENCE OF ATOPY

Gürgün Tuğçe Vural SOLAK, Kurtuluş AKSU, Alper Kutalmış TÜRKCAN, Yavuzalp SOLAK

Archives of Current Medical Research - 2026;7(1):120-126

University of Health Sciences, Ankara Ataturk Sanatoryum Training and Research Hospital, Division of Immunology and Allergy, Ankara, Türkiye

 

Background: Chronic rhinitis occurs in the presence of symptoms of nasal congestion, rhinorrhea, sneezing or nasal/ eye itching. It is important to make a differential diagnosis, because the treatments for the possible diagnoses differ considerably. The aim of our study was to determine the clinical characteristics of patients presenting with chronic rhinitis symptoms and without atopy. Methods: In this prospective, descriptive and cross-sectional study, demographic and clinical characteristics of patients were analysed. Visual Analogue Scale was used to determine the severity of rhinitis symptoms. These patients were examined for nasal endoscopic examination. Results: The median age of the 22 patients included in our study was 44.5 years (range: 18-61). The presence of nasal serous discharge on nasal endoscopy examination was significantly higher in the suspected LAR group than in the NAR group. (p=0.04) The presence of female gender, presence of concomitant allergic disease, presence of allergic disease in the family, presence of triggers, rhinorrhea and nasal itching scores according to the visual analogue scale were higher in the suspected LAR group than in the NAR group, but no statistically significant difference was found. Conclusion: Local allergic rhinitis should be suspected, in cases where serous discharge is observed during nasal endoscopy, symptoms are exacerbated by known triggers, or there is a personal or family history of allergic disease.