What is included in the monitoring of mold-related allergic rhinitis and conjunctivitis?

Updated: Sep 18, 2017
  • Author: Shih-Wen Huang, MD; Chief Editor: Harumi Jyonouchi, MD  more...
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Answer

A skin test for environmental allergens should be performed to establish the diagnosis of mold allergy.

Once the diagnosis is made, the patient should be given instructions regarding home environmental care, pharmacotherapy, and possible indications for immunotherapy.

Pharmacotherapy should include an antihistamine with or without decongestant, antihistamine nasal spray, mast-cell stabilizer nasal spray, and, most likely, a corticosteroid nasal spray.

These patients should be monitored regularly, at least every 3 months.

Sinus radiography or CT scanning of paranasal sinuses may be needed if sinusitis fails to respond to a proper therapy.

Children with obstructive apnea should undergo rhinoscopy or lateral imaging to identify adenoid hypertrophy.


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