TOPICAL CORTICOSTEROIDS VERSUS SYSTEMIC IN CASES OF ALLERGIC RHICNITIS
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wenty patients with manifestations of allergic rhirtitis from outpatient E.N.T.clinic of Benha University were divided into two groups. All cases were subjected to clinical examination and biopsies. Group A (ten patients) were treated by corticosteroids in the form of beclomethazone dipropionate ( Viarex) in daily dose of 400 mg for four weeks. Group B (ten patients) were treated by one intrarnascular injection of 5 mg betamethazone dipropionate and 2 mg betamethazone sodium phosphate. Degree of tissue eosinophilia correlates well with subjective symyptom score.Treatmeat with either forms of steroids resulted in similar improvement in allergic martyestation and histopathological findings.We recommended usage of local steroid for control of allergic rhinitis state as it is devoid of the systemic side effects especially in those patients with diabetes mellitus. hypertension or with immune deficiency disorders.