Hay fever in adolescents and adults

Overview

Hay fever is a symptom complex that may affect several organ systems. Symptoms typically consist of seasonal sneezing, nasal itching, nasal blockage, and watery nasal discharge.[1] Eye symptoms (red eyes, itchy eyes, and tearing) are also common. Other symptoms may include peak seasonal coughing, wheezing and shortness of breath, oral allergy syndrome (manifesting as an itchy, swollen oropharynx on eating stoned fruits), and systemic symptoms such as tiredness, fever, a pressure sensation in the head, and itchiness. Confirming the presence of pollen hypersensitivity using objective allergy tests, such as skin prick tests, detection of serum-specific IgE, and nasal provocation challenge testing, may improve diagnostic accuracy. This review focuses on people aged 12 years and over.

Latest guidelines

Latest citations

Treatment effect of sublingual immunotherapy tablets and pharmacotherapies for seasonal and perennial allergic rhinitis: Pooled analyses. ( 10 January 2017 )

Treatments for Seasonal Allergic Rhinitis ( 20 January 2016 )