Question 1 of 10

    Chronic Granulomatous Rhinitis (Granulomatous Rhinitis (chronic))

    This disease is induced by the following process: infectious.

    Presentation

    hematological
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  • respiratoric
    Nasal Congestion
    • congestion) Mixed rhinitis Non-allergic nasal rhinitis with eosinophilia Nonallergic rhinitis Non-allergic rhinitis Nonallergic rhinitis with eosinophilia Purulent rhinitis Rhinitis Rhinitis (nasal congestion) Rhinitis (nasal congestion), chronic Rhinitis[icd9data.com]
    • Clinical manifestations of rhinitis include nasal congestion, sneezing, rhinorrhea , and post-nasal drip.[amboss.com]
    • Peppermint essential oil has been used for centuries to relieve nasal congestion.[holisticprimarycare.net]
    • Symptoms initially include some nasal congestion and thin nasal discharge, often with a scratchy or sore throat.[my.clevelandclinic.org]
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  • Face, Head & Neck
    Epistaxis
    • Sometimes, frank epistaxis is the only presenting complaint.[prezi.com]
    • Clinical signs related to Bartonella infection in dogs: Endocarditis Myocarditis Anaemia Hepatitis Polyarthritis Uveitis, choroiditis Weight loss Epistaxis[cvbd.org]
    • […] chronic antigenic stimulation (chronic exposure to viruses & bacteria) & drying of mucosa due to vigorous exercise - hyperplasia of lympoid tissue - Will lead to obstruction of air flow Guttural pouches Infections - Clinical signs: nasal discharge, epistaxis[quizlet.com]
    • Epistaxis Diagnostics : No specific diagnostic test is indicated.[amboss.com]
    • WG, known for the triad of respiratory tract granulomas, systemic vasculitis and glomerulonephritis, commonly produces nasal symptoms of crusting, epistaxis and rhinorrhea.[my.clevelandclinic.org]
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  • Jaw & Teeth
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  • Workup

    Laboratory

    Serum
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  • Microbiology
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  • Treatment

    Prognosis

    Complications

    Epistaxis
    • Sometimes, frank epistaxis is the only presenting complaint.[prezi.com]
    • Clinical signs related to Bartonella infection in dogs: Endocarditis Myocarditis Anaemia Hepatitis Polyarthritis Uveitis, choroiditis Weight loss Epistaxis[cvbd.org]
    • […] chronic antigenic stimulation (chronic exposure to viruses & bacteria) & drying of mucosa due to vigorous exercise - hyperplasia of lympoid tissue - Will lead to obstruction of air flow Guttural pouches Infections - Clinical signs: nasal discharge, epistaxis[quizlet.com]
    • Epistaxis Diagnostics : No specific diagnostic test is indicated.[amboss.com]
    • WG, known for the triad of respiratory tract granulomas, systemic vasculitis and glomerulonephritis, commonly produces nasal symptoms of crusting, epistaxis and rhinorrhea.[my.clevelandclinic.org]
    Purulent Rhinitis
    • […] descriptions": { "long": "Chronic rhinitis", "short": "Chronic rhinitis" }, "extended": { "inclusionTerm": [ "Atrophic rhinitis (chronic)", "Granulomatous rhinitis (chronic)", "Hypertrophic rhinitis (chronic)", "Obstructive rhinitis (chronic)", "Ozena", "Purulent[phcoder.perceptionhealth.com]
    • Official Long Descriptor Chronic rhinitis Atrophic rhinitis (chronic) Granulomatous rhinitis (chronic) Hypertrophic rhinitis (chronic) Obstructive rhinitis (chronic) Ozena Purulent rhinitis (chronic) Rhinitis (chronic) NOS Ulcerative rhinitis (chronic[coder.aapc.com]
    • […] nonallergic rhinitis Gustatory rhinitis Hypertrophic rhinitis Irritant rhinitis Irritant rhinitis (nasal congestion) Mixed rhinitis Non-allergic nasal rhinitis with eosinophilia Nonallergic rhinitis Non-allergic rhinitis Nonallergic rhinitis with eosinophilia Purulent[icd9data.com]
    • (chronic) Obstructive rhinitis (chronic) Ozena Purulent rhinitis (chronic) Rhinitis (chronic) NOS Ulcerative rhinitis (chronic) ICD-10-CM Diagnosis Code J30.8 Other allergic rhinitis 2016 2017 2018 Non-Billable/Non-Specific Code Other chronic allergic[icd10data.com]
    • Inclusion Term Atrophic rhinitis (chronic) Granulomatous rhinitis (chronic) Hypertrophic rhinitis (chronic) Obstructive rhinitis (chronic) Ozena Purulent rhinitis (chronic) Rhinitis (chronic) NOS Ulcerative rhinitis (chronic) Excludes1 allergic rhinitis[icd10coded.com]
    Nasal Obstruction
    • Other causes of nasal obstruction.[patient.info]
    • ., monteleukast) 2 nd line : immunotherapy : controlled exposure to gradually increasing doses of the allergen in order to hyposensitize the IgE response 3 rd line : resection of hypertrophic nasal turbinates to relieve nasal obstruction Intranasal sympathomimetics[amboss.com]
    • Rhinosporidiosis • Clinical manifestation – Painless slow growing nasal mass • Friable, polypoid and vascular • Strawberry appearance – Nasal obstruction, watery rhinorrhoea 86.[slideshare.net]
    Leprosy
    • Leprosy • 2 distinct polar forms of disease w spectrum in between – Tuberculoid Leprosy: • Strong host resistance • Non-infective • Localized – Lepromatous Leprosy • Poor host resistance • Infective • Systemic with widespread involvement of tissues 73[slideshare.net]
    • Leprosy is very common in the tropics country.[prezi.com]
    • […] classification Primary atrophic rhinitis (ozaena): idiopathic condition which primarily affects middle-aged women of low socio-economic status Secondary atrophic rhinitis occurs following: Granulomatous diseases of the nasal cavity Infectious causes: syphilis , leprosy[amboss.com]

    Etiology

    Causes

    Epidemiology

    Sex distribution
    Age distribution

    Pathophysiology

    Prevention

    Summary

    Patient Information

    Other symptoms

    Very Rare
    Leukotriene Receptor Antagonist
    • Other: leukotriene receptor antagonists (Montélukast-Singulair ) Immunotherapy or allergy shots (see the section on Immunotherapy ) If these measures aren't sufficient to control your symptoms, it is important to follow-up with your allergist. _______[allerg.qc.ca]
    • ., cetirizine , levocetirizine, loratadine ) Decongestants ( α1-sympathicomimetics such as phenylephrine and pseudoephedrine) Leukotriene receptor antagonists (e.g., monteleukast) 2 nd line : immunotherapy : controlled exposure to gradually increasing[amboss.com]
    Leflunomide
    • Treatment options for Wegener's granulomatosis have shown a lack of effect of etanercept, but hopeful alternatives to prolonged cyclophosphamide use include methotrexate and leflunomide.[ncbi.nlm.nih.gov]
    Lepromatous Leprosy
    • Leprosy • 2 distinct polar forms of disease w spectrum in between – Tuberculoid Leprosy: • Strong host resistance • Non-infective • Localized – Lepromatous Leprosy • Poor host resistance • Infective • Systemic with widespread involvement of tissues 73[slideshare.net]

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    References

    • Atrophic rhinitis: a review of 242 cases - EJ Moore, EB Kern - American journal of rhinology, 2001 - ingentaconnect.com
    • 7. Rhinitis and sinusitis - MS Dykewicz - Journal of allergy and clinical immunology, 2003 - Elsevier


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