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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