1 - Mechanisms
This is an allergic reaction involving IgE and T helper type 2 lymphocytes. The contact of the nasal mucosa with the allergen causes the release of histamine, leukotrienes, prostaglandins.
2 - Description
Rhinitis manifests as a clear runny nose that can lead to nasal obstruction. It is associated with sneezing. The association with conjunctivitis (red eyes that cry and itchy) is common.
The evolution can be towards asthma or favor the appearance of otitis.
The symptoms can be troublesome enough to alter the quality of life to a level equivalent to that of asthma, upsetting social activities. They can also degrade school performance but the sedative effect of antihistamine drugs can also play.
An allergic cause of rhinitis must be theoretically demonstrated by a skin test (prick test) or by the search for specific immunoglobulin E in the blood. This is rarely necessary in case of seasonal allergy, more in case of perennial rhinitis.