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PubMed · 1670939

Allergic rhinitis: a practical approach.

D B Engler·J A Grant
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Abstract

For diagnosis, a history and physical examination often suffice, but special studies may be useful. Treatment choices are avoidance, drugs, or immunotherapy. Efficacy, cost, and side effects are emphasized.

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Adrenal Cortex HormonesDesensitization, ImmunologicHistamine H1 AntagonistsHumansMedical History TakingNasal MucosaPhysical ExaminationRadioallergosorbent TestRhinitis, Allergic, PerennialSkin TestsJournal ArticleReview

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BibTeXRIS

D B Engler, J A Grant. 1991-01-15. Allergic rhinitis: a practical approach.. https://doi.org/10.1080/21548331.1991.11704129

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[An outbreak of mostly extrapulmonary tuberculosis in a family practice].

An outbreak of mainly extrapulmonary tuberculosis (TB) in a group of about 550 patients with rheumatoid arthritis (RA) is described. These patients had been attending the practice of a former general practitioner who treated cases of rheumatoid arthritis with phenylbutazone and steroids. The number of diagnosed TB cases was 55. Six cases had a contagious lung localisation. The possible sources of the outbreak were analysed. Both a visit on a same day as a sputum positive patient (chi 2-trend: 20.4; p < 0.001) and the administration of steroids (odds ratio (OR): 36.2; 95% confidence interval (CI): 8.8-313) were independent risk factors. There also appeared to be a relationship between TB and RA (OR: 4.4; 95%-BI: 2.2-9.1). Exogenous re(infection) and endogenous reactivation are possible causes of this outbreak.

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