-Allergic rhinitis will have dear mucoid rhinorrhea, which can be watery
and thin. or also somewhat sticky and tenacious, but always dear. It is
associated with nasal congestion, sneezing, itchy nose and eyes, and
epiphora. Other symptoms of generalized allergy are generalized pruritis,
itchy ears, and dark circles under the eyes. On nasal examination,
typical findings include edematous mucosa throughout the nasal cavities
bilaterally; pale, bluish, hypertrophic turbinates; dear, thin, mu134
Differential Diagnosis in Otolaryngology
coid nasal drainage; and hyperreactive mucosa associated with sneezing
during endoscopy.

– Viral rhinitis and sinusitis usually cause clear, thin, mucoid nasal rhinorrhea.
Bacterial rhinitis and rhinosinusitis usually cause thick, purulent
– Vasomotor rhinitis is associated with clear, mucoid rhinorrhea in the
absence of inhalant allergies. Rhinorrhea can be exacerbated by exercise,
cold temperatures, or eating.


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