PPP 179 - Rhinitis with Prof Pete Smith

We talk with Prof Pete Smith, an allergist from Queensland about

• Why rhinitis shouldn't be sneezed at (sorry we had to), including the consequences of allergic rhinitis being un/undertreated
• The recommended method to use intranasal sprays - hint "if you can taste it, you're wasting it"
• How to discuss concerns patients might have about intranasal corticosteroids
• The long list of potential triggers of nonallergic rhinitis
• What are the red flag symptoms of rhinitis?

Some further reading:

• Nonallergic Rhinopathy: A Comprehensive Review of Classification, Diagnosis, and Treatment. The journal of allergy and clinical immunology. In practice, S2213-2198(24)00270-8. Advance online publication. https://doi.org/10.1016/j.jaip.2024.03.009
• Itch Beyond the Skin-Mucosal Itch. Front Allergy. 2021;2:700368. Published 2021 Oct 28. https://doi.org/10.3389/falgy.2021.700368
• Characteristics of nonallergic vasomotor rhinitis. World Allergy Organ J. 2009 Jun 15;2(6):102-5. https://doi.org/10.1097/wox.0b013e3181a8e389
• Allergic and Mixed Rhinitis: Diagnosis and Natural Evolution. J Clin Med. 2019 Nov 19;8(11):2019. https://doi.org/10.3390/jcm8112019