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Religion : Catholic
Nationality : Indonesia
Educational Background
Medical Doctor (MD), Faculty of Medicine, Atma Jaya Catholic University of Indonesia,
Jakarta, Indonesia ( 1996 2003 ).
ARIA 2008
Allergic Rhinitis
A symptomatic disorder of the nose
induced after allergen exposure by an
IgE-mediated inflammation.
SAR VS PAR
Intermittent VS Persistent
Mild VS Moderate/Severe
2 / more following symptoms > 1 hr on
most days & 2 / more consecutive days :
watery anterior rhinorhea
Sneezing (paroxysmal)
+/- conjunctivitis
nasal obstruction
nasal pruritus
Confirmation Test : Skin Prick Test / Allergen-specific Ig E
Diagnosing Allergic Rhinitis
( Based on symptoms)
Courtesy of ARIA
2008
The Rhinitis Universe Allergic Rhinitis Algorithm
Based on severity of AR
single / appropriate combination treatment
Step up & step down therapy
Evidences Summary on Medical Treatment
ARIA 2010 AAOHNS 2015
Recommendation Recommendation
New generation AH1 Strong Strong
Conditional ( against
Intra-nasal AH1 Option
PAR)
Conditional (SAR & PAR
LTRAs children ), Against -> Against
adult PAR
Strong ( adult ),
Intra-nasal CS Strong
Conditional ( Children )
Oral CS Conditional (-) Short course