Rinite Alérgica Local: Protocolo de abordagem diagnóstica e terapêutica

Cláudia Santos; Filipa  Ferreira; Ricardo São Pedro; Carla André; Mário Santos; Luís Antunes

doi:10.34631/sporl.1021

Autores

Cláudia Santos Hospital Garcia de Orta, Portugal https://orcid.org/0000-0002-6662-5009
Filipa Ferreira Hospital Garcia de Orta, Portugal https://orcid.org/0000-0003-2338-0088
Ricardo São Pedro Hospital Garcia de Orta, Portugal https://orcid.org/0000-0002-4129-5154
Carla André Hospital Garcia de Orta, Portugal https://orcid.org/0000-0002-6894-3369
Mário Santos Hospital Garcia de Orta, Portugal
Luís Antunes Hospital Garcia de Orta, Portugal

DOI:

https://doi.org/10.34631/sporl.1021

Palavras-chave:

Rinite alérgica, Rinite não alérgica, Rinite alérgica local, Diagnóstico da rinite, Abordagem terapêutica da rinite

Resumo

Objetivo: Apresentação de protocolo para abordagem diagnóstica e terapêutica na Rinite Alérgica Local.

Materiais e métodos: Revisão bibliográfica de artigos científicos, publicados em língua inglesa, entre 2000 e 2021, com recurso à base de dados PubMed.

Resultados: Clinicamente a Rinite Alérgica Local manifesta-se por sintomatologia semelhante à da rinite alérgica, no entanto, os testes cutâneos e o doseamento de IgE específica sérica são negativos. O diagnóstico definitivo implica uma Prova de Provocação Nasal com exposição a alergénio positiva.

O algoritmo terapêutico consiste na evicção dos alergénios identificados, farmacoterapia e, nos casos refratários, imunoterapia específica.

Conclusões: A Rinite Alérgica Local constitui um fenótipo distinto das rinites classicamente descritas e encontra-se subdiagnosticada, afetando uma proporção significativa de doentesdiagnosticados com Rinite Não Alérgica.

A implementação da Prova de Provocação Nasal com alergénio, nos algoritmos diagnósticos da rinite, é essencial para o reconhecimento precoce da Rinite Alérgica Local e prescrição de tratamento adequado.

Referências

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Rinite Alérgica Local: Protocolo de abordagem diagnóstica e terapêutica

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