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Volume 354:1205-1206 March 16, 2006 Number 11
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Allergic Rhinitis

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by Plaut, M.
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To the Editor: Drs. Plaut and Valentine (Nov. 3 issue)1 did not mention the use of saline nasal irrigation for the patient with seasonal allergic rhinitis. The student described in the case vignette wanted to avoid drowsiness and dry mouth. Nasal irrigation makes symptoms more tolerable and is an excellent addition to nasal corticosteroids.2,3,4

At the very least, it helps reduce the mucus to which the nasal inhaled steroids adhere. A controlled trial showed a significant improvement in symptoms.2


Patricia E. Boiko, M.D., M.P.H.
Factoria Medical Center
Bellevue, WA 98006

  1. Plaut M, Valentine MD. Allergic rhinitis. N Engl J Med 2005;353:1934-1944. [Free Full Text]
  2. Tomooka LT, Murphy C, Davidson TM. Clinical study and literature review of nasal irrigation. Laryngoscope 2000;110:1189-1193. [CrossRef][ISI][Medline]
  3. Garavello W, Romagnoli M, Sordo L, Gaini RM, Di Berardino C, Angrisano A. Hypersaline nasal irrigation in children with symptomatic seasonal allergic rhinitis: a randomized study. Pediatr Allergy Immunol 2003;14:140-143. [CrossRef][ISI][Medline]
  4. Georgitis JW. Nasal hyperthermia and simple irrigation for perennial rhinitis: changes in inflammatory mediators. Chest 1994;106:1487-1492. [Free Full Text]
 
To the Editor: Plaut and Valentine indicated that the sensitivity . . . [Full Text of this Article]



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