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Management of Allergic Rhinitis Aggravated by Air Pollution

Pollution is the introduction of harmful substances, or pollutants, into the environment that leads to the deterioration of the quality of air, water, and land.

The impact of air pollution on allergic symptoms is modulated by 4 factors.

Air pollutants

A mixture of solid particles, liquid droplets and gases. Air pollutants can be natural, such as bush fires, or created by human activity, such as motor vehicles.

 

Allergens

Biological air pollutants derive from living organisms. Some allergens are more significant indoors, while others are more important outdoors.

Particulate matter Diesel Exhaust Particles (DEP) Ozone House dust mites Pet dander Pollen

Ultra-fine
(<1 μm)

Fine
(<1–2.5 μm)

Coarse
(2.5–10 μm)

Outdoor air pollution constituted more than 3% of the annual Disability-Adjusted Life Year in 2010.      

Recommendations for patients

  • Avoidance

Remain indoors during high pollen levels.

  • Elimination

Eliminate sources of indoor mold spores, clean thoroughly.

  • Treatment

Recommend 2nd generation antihistamines or intranasal corticosteroids, anticholinergics, and nasal lavage

References

Naclerio R, Ansotegui IJ, Bousquet J et al. World Allergy Organ J. 2020 Mar; 13(3): 100106. Published online 2020 Apr 3. doi: 10.1016/j.waojou.2020.100106

How to create a healthy environment

References

  1. Naclerio R, Ansotegui IJ, Bousquet J et al. World Allergy Organ J. 2020 Mar; 13(3): 100106. Published online 2020 Apr 3. doi: 10.1016/j.waojou.2020.100106

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