Exercise can trigger rhinitis symptoms in certain athletes.
Signs and symptoms:
(1) rhinorrhea
(2) nasal congestion
(3) sneezing
(4) post-nasal drip
Additional findings:
(1) elevated serum histamine levels
(2) other exercise-induced hypersensitivity reactions (urticaria, asthma)
Athletes affected:
(1) runners
(2) cyclists
(3) skiers
(4) swimmers (“swimming-induced rhinitis”)
Differential diagnosis:
(1) allergic rhinitis associated with exposure of environmental allergens
(2) viral or other infection
H1 antihistamines may be effective in reducing manifestations.
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Specialty: Surgery, orthopedic, Immunology/Rheumatology, Pulmonology
