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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have SLE. Sneezing, Sinus Headache, Pain, Obstruction In Throat. Taken Antibiotics. How To Relive Symptoms?

I have SLE , and for the past two months I have had cold or allergy symptoms that will not go away... sneezing , sinus headache and pain, feeling of something stuck in my throat. I took a 2 week round of antibiotics, but the symptoms are still there. Is there something I can do to relieve these constant annoying symptoms?
Mon, 24 Dec 2012
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Allergist and Immunologist,  's  Response
Hello Linda,

Your symptoms would be consistent with persistent rhinitis/rhinosinusitis that can also cause upper airway problems with secretions from the sinuses.

The SLE in the background would mean you are either on steroids or immunosuppressants and therefore fungal rhinosinsitis may required to be excluded.

A CT Paransal sinuses is recommended.

The treatment would involve: long-acting oral antihistamines with fluticasone or mometasone nasal spray 2 sprays per nostril twice daily.

The link with SLE is possible particularly if it is active, and blood tests such as complete hemogram, LFTs, C3 C4, dsDNA levels would be required, and the condition is SLE related angioedema of the upper airway. Your Rheumatologist would be the best person to get in touch with if the tablets and nasal sprays do not help.



Best Wishes.
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Have SLE. Sneezing, Sinus Headache, Pain, Obstruction In Throat. Taken Antibiotics. How To Relive Symptoms?

Hello Linda, Your symptoms would be consistent with persistent rhinitis/rhinosinusitis that can also cause upper airway problems with secretions from the sinuses. The SLE in the background would mean you are either on steroids or immunosuppressants and therefore fungal rhinosinsitis may required to be excluded. A CT Paransal sinuses is recommended. The treatment would involve: long-acting oral antihistamines with fluticasone or mometasone nasal spray 2 sprays per nostril twice daily. The link with SLE is possible particularly if it is active, and blood tests such as complete hemogram, LFTs, C3 C4, dsDNA levels would be required, and the condition is SLE related angioedema of the upper airway. Your Rheumatologist would be the best person to get in touch with if the tablets and nasal sprays do not help. Best Wishes.