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GROUP 9
Agustin Peter Jhonatan Debby Heldayani
Prasetio Deniriawati Dachi
Diwil Hirtiantinit Halawa
Dian Farisa
Dewi Pandiangan
Ditra Koneksi W.
Dina Lesfita
Djones Van E.D.
Afliana Wahyuni
Richard Gunawan Dara Maulyda Putri
Royali Alfindo Fidel Fau
Jenny Dachi
A man aged 10 years came to poly ENT general hospital with
symptoms of nasal congestion muhammadiyah, it is
experienced since the age of 5 years, sneezing found more
than 5 x / x sneeze every morning I wake up, runny nose are
also present, fluid and clear watery mucus, nasal itching
encountered, itchy eyes met.
Sometimes it is also found when the mother of the sick
sweep home carpet. This happened 3 times in a week and a
month occurred 1-2 weeks.
Rinoskopi examination results seem cavity mucosa nasi
anterior and inferior turbinate pale bluish, inferior turbinate
edema, rice pouch narrow, there is no deviation of the nasal
septum. More information allergic shiner (+) and allergic
salute (+).
What happened to the child ?
Clarification Of The Term
Rinoskopi anterior : examination of the front nose
with nasal speculum
Signs of inflammation
B. Etiology
Inhalants allergens, which entered along with breathing air, such as house
dust, mites, epithelial fragments of fur and mushrooms.
Ingestan allergens, which entered into the gastrointestinal tract, such as
food, such as milk, eggs, chocolate, fish and shrimp
Injektan allergens, which is entered through injections or punctures, such as
penicillin or a bee sting.
Kontaktan allergens, which is entered through contact with the skin or
mucosal tissue, such as cosmetics or jewelry
C. Epidemiology
1. family history
2. Asthma
3. High temperatures
4. Exposed to dust mites / exposure to allergens
5. Humidity
6. History hobby gardening / recreation to the
mountains
7. Cigarette smoke
8. Air pollution
9. Smell a strong scent or stimulate
Pathophysiology And Clinical
Symptoms Of Allergic Rhinitis
A. Pathophysiology
B. Clinical Symptoms
B. Physical Examination
Inspection
The outer shape of the nose note whether there is a deviation or nasal bone
depression. Is there any swelling in the nose and paranasal sinuses.
Palpation
On physical examination, palpation found:
Mucous membranes of the nose swollen, wet (sereous, shiny), turbinate
mucosa pale or purplish due to the widening of the veins (venous).
C. Supporting examination
2. Simptomatic
A. Drug
B. Operative
C. Immunotherapy
B. Prevention
The only way to overcome the disease, rhinitis is to avoid things that can
make a sneeze that cold air and dust. Prevention that you can do is to
avoid cold air (put on thick clothes or jacket when the weather is cold,
avoid bathing with IAR is too cold or bathing in cold weather), avoid dust
(diligent clean room, changing bed linen 1x a week, replace cotton
mattress into a foam, avoid the doll) and avoid pets
Complications And Prognosis Of
Allergic Rhinitis
A. Complications
B. Prognosis
Generally good, allergic rhinitis disease as a whole decreases with age, but
increases the possibility of suffering from bronchial asthma.
Spontaneous remission can occur as much as 15-25% over a period of 5-7 years
Patients with allergic rhinitis without complications response to treatment
have a good prognosis.
Prognosis is happening can be affected by many factors including immune
status and anatomical anomalies
Final Conclusion
Male 10 years experience allergic rhinitis (intermittent)
supporting investigation:
1. Examination of ige
2. Allergy test
Management:
1. Provision of antihistamines
loratadine (claritin)
1 tablet (10 mg), once daily
5-10 ml (1-2 teaspoons) once daily (children's formulation)
2. Nasal decongestants
efedrine, a day for children 3 mg / kg of body weight divided into 4-6
equal doses.