{"id":2196,"date":"2026-02-06T20:42:24","date_gmt":"2026-02-06T20:42:24","guid":{"rendered":"https:\/\/videoteca.svpediatria.org\/?page_id=2196"},"modified":"2026-02-06T23:45:52","modified_gmt":"2026-02-06T23:45:52","slug":"alergias","status":"publish","type":"page","link":"https:\/\/videoteca.svpediatria.org\/?page_id=2196","title":{"rendered":"Alergias"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2196\" class=\"elementor elementor-2196\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7cbd097 e-flex e-con-boxed e-con e-parent\" data-id=\"7cbd097\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0416772 e-con-full e-flex e-con e-child\" data-id=\"0416772\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9b001f4 elementor-widget elementor-widget-image\" data-id=\"9b001f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"171\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1-300x171.jpg\" class=\"attachment-medium size-medium wp-image-704\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1-300x171.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/08\/1.jpg 700w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a92dbe8 e-flex e-con-boxed e-con e-parent\" data-id=\"a92dbe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c8efa98 e-con-full e-flex e-con e-child\" data-id=\"c8efa98\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ff22793 e-grid e-con-full e-con e-child\" data-id=\"ff22793\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4ff367c e-grid e-con-full e-con e-child\" data-id=\"4ff367c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a436cc1 elementor-widget elementor-widget-text-editor\" data-id=\"a436cc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1 style=\"text-align: center;\"><img decoding=\"async\" class=\"wp-image-2204 size-medium aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Alergias-300x276.png\" alt=\"\" width=\"300\" height=\"276\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Alergias-300x276.png 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Alergias-1024x943.png 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Alergias-768x708.png 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Alergias-1536x1415.png 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Alergias-2048x1887.png 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><span style=\"color: #68c4e3;\">Alergias<\/span><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b6cf834 e-flex e-con-boxed e-con e-parent\" data-id=\"b6cf834\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6057420 e-con-full e-flex e-con e-child\" data-id=\"6057420\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-2540b5d e-grid e-con-full e-con e-child\" data-id=\"2540b5d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-078a5de e-con-full e-flex e-con e-child\" data-id=\"078a5de\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-95fc8b5 e-con-full e-flex e-con e-child\" data-id=\"95fc8b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ee25dfc e-con-full e-flex e-con e-child\" data-id=\"ee25dfc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-908b828 elementor-widget elementor-widget-n-accordion\" data-id=\"908b828\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1510\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1510\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Rinitis Al\u00e9rgica <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-medical\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-153 31V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm64 160v48c0 4.4-3.6 8-8 8h-56v56c0 4.4-3.6 8-8 8h-48c-4.4 0-8-3.6-8-8v-56h-56c-4.4 0-8-3.6-8-8v-48c0-4.4 3.6-8 8-8h56v-56c0-4.4 3.6-8 8-8h48c4.4 0 8 3.6 8 8v56h56c4.4 0 8 3.6 8 8z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-9aefa7f e-con-full e-flex e-con e-child\" data-id=\"9aefa7f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-fc4d2f8 e-flex e-con-boxed e-con e-child\" data-id=\"fc4d2f8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9150c39 elementor-widget elementor-widget-image\" data-id=\"9150c39\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Rinitis al\u00e9rgica\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjIwOCwidXJsIjoiaHR0cHM6XC9cL3ZpZGVvdGVjYS5zdnBlZGlhdHJpYS5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjZcLzAyXC9SaW5pdGlzLWFsZXJnaWNhLmpwZyJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"614\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica-1024x614.jpg\" class=\"attachment-large size-large wp-image-2208\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Rinitis-alergica.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-4c2ec08 e-con-full e-grid e-con e-child\" data-id=\"4c2ec08\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ad0bf96 e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"ad0bf96\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"181452694\" aria-label=\"Pesta\u00f1as. 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7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-download\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224 136V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24V160H248c-13.2 0-24-10.8-24-24zm76.45 211.36l-96.42 95.7c-6.65 6.61-17.39 6.61-24.04 0l-96.42-95.7C73.42 337.29 80.54 320 94.82 320H160v-80c0-8.84 7.16-16 16-16h32c8.84 0 16 7.16 16 16v80h65.18c14.28 0 21.4 17.29 11.27 27.36zM377 105L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1c0-6.3-2.5-12.4-7-16.9z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDescargar Gu\u00eda\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526941\" id=\"e-n-tab-content-1814526941\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-6598aff e-con-full e-grid e-con e-child\" data-id=\"6598aff\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-ed36be6 e-con-full e-flex e-con e-child\" data-id=\"ed36be6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-3bdd60d e-con-full e-flex e-con e-child\" data-id=\"3bdd60d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17daa97 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"17daa97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>A. Definici\u00f3n<\/b><\/span><\/p><p>Es la inflamaci\u00f3n cr\u00f3nica de la mucosa nasal, que ocurre cuando el sistema inmunitario reacciona de forma anormal a al\u00e9rgenos comunes inhalados (\u00e1caros, p\u00f3lenes, epitelio de animales), que se presenta en ni\u00f1os y adultos en forma recurrente, caracterizada por congesti\u00f3n nasal, rinorrea anterior, estornudos en salva, prurito nasal, cuya evoluci\u00f3n cl\u00ednica depende del estadio, caracter\u00edsticas gen\u00e9ticas y adherencia al tratamiento, as\u00ed como el diagn\u00f3stico de comorbilidades.<\/p><p><strong><span style=\"color: #338fff;\"><b>Etiolog\u00eda<\/b><\/span><\/strong><\/p><p>Es producida por la exposici\u00f3n a al\u00e9rgenos como el p\u00f3len, los \u00e1caros (dermatophagoides, blomia tropical), caspa de animales (perros, gatos), plumas de aves, esporas de hongos (tabla 1) que provocan una reacci\u00f3n inmune en las fosas nasales El paciente debe tener una historia cl\u00ednica compatible:<\/p><p>Antecedentes familiares de atopia<\/p><p>Investigar factores predisponentes asociados (presencia de fumadores, tipo de parto, uso indiscriminado de antibi\u00f3ticos, presencia de mascotas, zona de vivienda, humedad)<\/p><p>Examen f\u00edsico: saludo al\u00e9rgico, pliegue transversal en nariz, l\u00edneas de Dennie Morgan, mucosa nasal p\u00e1lida, cornetes nasales hipertrofiados, paladar ojival, edema palpebral, doble pliegue palpebral<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526942\" id=\"e-n-tab-content-1814526942\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-791c6cc e-grid e-con-boxed e-con e-child\" data-id=\"791c6cc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-9e1d9d7 e-con-full e-flex e-con e-child\" data-id=\"9e1d9d7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5d68a20 elementor-widget elementor-widget-text-editor\" data-id=\"5d68a20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Diagn\u00f3stico<\/b><\/span><\/p><ul><li><strong>Epidemiol\u00f3gico: <\/strong>Historia familiar de rinitis al\u00e9rgica, asma o alguna atopia, antecedente de eccema, exposici\u00f3n a cigarrillo durante la gestaci\u00f3n.<\/li><li><strong>Cl\u00ednico: <\/strong>el diagn\u00f3stico cl\u00ednico viene dado por la presencia de prurito nasal, el paciente va a presentar lo que se conoce como el saludo al\u00e9rgico, congesti\u00f3n, estornudos en salva y rinorrea anterior hialina anterior y posterior con s\u00edntomas concomitantes como prurito ocular, lagrimeo y\/o enrojecimiento ocular. De acuerdo a la frecuencia con la que presente los s\u00edntomas se clasifica en rinitis al\u00e9rgica intermitente o persistente (tabla 2) y si presenta otros s\u00edntomas asociados, como son: alteraci\u00f3n del sue\u00f1o, afectaci\u00f3n de las actividades cotidianas, afectaci\u00f3n del rendimiento escolar, s\u00edntomas molestos ser\u00e1 leve, moderada\/grave (tabla 3).<\/li><li><strong>Etiol\u00f3gico:<\/strong> viene dado por la realizaci\u00f3n de las pruebas espec\u00edficas:<\/li><\/ul><p>Determinaci\u00f3n de Ig E s\u00e9rica la cual puede estar elevada en pacientes at\u00f3picos, los valores normales var\u00edan de acuerdo al grupo etario<\/p><p>Determinaci\u00f3n de Ig E espec\u00edfica a trav\u00e9s del an\u00e1lisis de sangre (m\u00e9todo inmunoqu\u00edmico) que identifica y cuantifica la Ig E espec\u00edfica para un al\u00e9rgeno determinado. Tambi\u00e9n se puede realizar a trav\u00e9s de las pruebas prick (pruebas cut\u00e1neas) en donde se aplican peque\u00f1as cantidades de extractos de al\u00e9rgenos sobre la piel (antebrazo o espalda), se realiza una peque\u00f1a escarificaci\u00f3n y pasado un lapso de 15-20 minutos, si la persona es al\u00e9rgica presentar\u00e1 un enrojecimiento o la formaci\u00f3n de una p\u00e1pula.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29de56a elementor-widget elementor-widget-image\" data-id=\"29de56a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla1_Alergenos-mas-frecuentes.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Tabla1_Al\u00e9rgenos m\u00e1s frecuentes\" 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https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla1_Alergenos-mas-frecuentes.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9cb230 elementor-widget elementor-widget-image\" data-id=\"b9cb230\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla2_Clasificacion-de-la-rinitis-alergica-segun-la-duracion-de-los-sintomas.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Tabla2_Clasificaci\u00f3n de la rinitis al\u00e9rgica seg\u00fan la duraci\u00f3n de los s\u00edntomas\" 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https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla2_Clasificacion-de-la-rinitis-alergica-segun-la-duracion-de-los-sintomas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla2_Clasificacion-de-la-rinitis-alergica-segun-la-duracion-de-los-sintomas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla2_Clasificacion-de-la-rinitis-alergica-segun-la-duracion-de-los-sintomas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92b1c56 elementor-widget elementor-widget-image\" data-id=\"92b1c56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Tabla3_Clasificaci\u00f3n de la rinitis al\u00e9rgica seg\u00fan la gravedad de los s\u00edntomas\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjIxMSwidXJsIjoiaHR0cHM6XC9cL3ZpZGVvdGVjYS5zdnBlZGlhdHJpYS5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjZcLzAyXC9UYWJsYTNfQ2xhc2lmaWNhY2lvbi1kZS1sYS1yaW5pdGlzLWFsZXJnaWNhLXNlZ3VuLWxhLWdyYXZlZGFkLWRlLWxvcy1zaW50b21hcy5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"614\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas-1024x614.jpg\" class=\"attachment-large size-large wp-image-2211\" alt=\"\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla3_Clasificacion-de-la-rinitis-alergica-segun-la-gravedad-de-los-sintomas.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526943\" id=\"e-n-tab-content-1814526943\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-226c3ed e-grid e-con-boxed e-con e-child\" data-id=\"226c3ed\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-1719942 e-con-full e-flex e-con e-child\" data-id=\"1719942\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4694791 elementor-widget elementor-widget-text-editor\" data-id=\"4694791\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Criterios a tomar en cuenta<\/b><\/span><\/p><p>Es importante considerar el diagn\u00f3stico diferencial de la rinitis al\u00e9rgica, como la rinitis infecciosa, la rinitis vasomotora, la rinitis medicamentosa, la presencia de cuerpos extra\u00f1os o problemas estructurales como la desviaci\u00f3n septal, la hipertrofia adenoidea o los p\u00f3lipos nasales, considerar tambi\u00e9n condiciones menos comunes pero m\u00e1s graves como tumores nasofar\u00edngeos, rinitis no al\u00e9rgica con s\u00edndrome de eosinofilia o condiciones sist\u00e9micas como el hipotiroidismo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526944\" id=\"e-n-tab-content-1814526944\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-7122367 e-flex e-con-boxed e-con e-child\" data-id=\"7122367\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-b43adcf e-con-full e-flex e-con e-child\" data-id=\"b43adcf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e4aca6c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"e4aca6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Valoraci\u00f3n de gravedad<\/b><\/span><\/p><p>La rinitis al\u00e9rgica se asocia con frecuencia con el asma, que se encuentra en el 15% al 38% de los pacientes con rinitis al\u00e9rgica,\u00a0y los s\u00edntomas nasales est\u00e1n presentes en el 6% al 85% de los pacientes con asma. Adem\u00e1s, la rinitis al\u00e9rgica es un factor de riesgo para el asma,\u00a0y la rinits al\u00e9rgica moderada a grave no controlada afecta el control del asma, puede afectar la calidad del sue\u00f1o, la realizaci\u00f3n de actividades cotidianas y la asistencia a sus actividades escolares, el paciente puede experimentar s\u00edntomas asociados como cefalea, ansiedad, bajo rendimiento escolar, respiraci\u00f3n bucal y maloclusi\u00f3n dental, esta patolog\u00eda esta infradiagnosticada.<\/p><p>La clasificaci\u00f3n de la rinitis al\u00e9rgica va en funci\u00f3n de la duraci\u00f3n de los s\u00edntomas, que puede ser intermitente\u00a0 si los mismos se manifiestan menos de 4 d\u00edas en la semana o menos de 4 semanas consecutivas y es persistentes si estos se manifiestan mas de 4 d\u00edas a la semana o m\u00e1s de 4 semanas consecutivas. Sera leve si no presenta sintomas concomitantes y moderada\/grave si presentase 1 o mas de los siguientes s\u00edntomas: alteraci\u00f3n del sue\u00f1o, aafectaci\u00f3n de las actividades diarias, deportivas o de ocio, interfiere con sus actividades laborales o escolares y los s\u00edntomas son molestos, afectando la calidad de vida (tablas 2 y 3)<\/p><p>La complicaci\u00f3n m\u00e1s frecuente de la rinitis al\u00e9rgica suele ser la rinosinusitis infecciosa que se caracteriza por rinorrea anterior y posterior verdosa, con mal olor, tos cr\u00f3nica y cefalea.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526945\" id=\"e-n-tab-content-1814526945\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-bda44d6 e-flex e-con-boxed e-con e-child\" data-id=\"bda44d6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-eb7475e e-con-full e-flex e-con e-child\" data-id=\"eb7475e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3afdcc3 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"3afdcc3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tratamiento leve<\/b><\/span><\/p><p><strong>-Tratamiento seg\u00fan la severidad: <\/strong>Es el tratamiento m\u00e1s ampliamente recomendado y para ello es importante establecer previamente la valoraci\u00f3n del estado cl\u00ednico basado en la clasificaci\u00f3n presentada en las tablas 2 y 3 y se realizara de forma escalonada. La inmunoterapia se utilizar\u00e1 en pacientes seleccionados y no respondedores a los tratamientos farmacol\u00f3gicos recomendados.<\/p><p><strong>Leve: <\/strong>El Cuidado general incluye: control de los s\u00edntomas a trav\u00e9s de la educaci\u00f3n e identificaci\u00f3n del desencadenante (al\u00e9rgeno) y evitaci\u00f3n del mismo, las medidas de control ambiental para los \u00e1caros del polvo, cucarachas, mascotas, roedores, polen y al\u00e9rgenos ocupacionales de acuerdo al caso, son medidas necesarias una vez identificado el desencadenante. Se debe indicar de acuerdo a la edad del paciente bien sea antial\u00e9rgicos orales (menor de 2 a\u00f1os) tabla 4 o corticoesteroides nasales tabla 5 (mayores de 2 a\u00f1os) por 15 d\u00edas a un mes de tratamiento, as\u00ed como lavados nasales con soluci\u00f3n fisiol\u00f3gica (entre 10-20 cc).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526946\" id=\"e-n-tab-content-1814526946\" data-tab-index=\"6\" style=\"--n-tabs-title-order: 6;\" class=\" elementor-element elementor-element-44f7802 e-con-full e-flex e-con e-child\" data-id=\"44f7802\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-0b6c7bf e-con-full e-flex e-con e-child\" data-id=\"0b6c7bf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b621ee1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b621ee1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Tratamiento moderado\/grave<\/b><\/span><\/p><p><span style=\"color: #333333;\"><b>Evitaci\u00f3n del al\u00e9rgeno y educaci\u00f3n<\/b><\/span><\/p><p>Debe evitarse la exposici\u00f3n al al\u00e9rgeno y as medidas de control ambiental para los \u00e1caros del polvo, cucarachas, mascotas, roedores, polen y al\u00e9rgenos ocupacionales de acuerdo al caso.<\/p><p>Corticoesteroides nasales: Constituyen la 1ra l\u00ednea de tratamiento para la rinitis al\u00e9rgica en los pacientes mayores de 2 a\u00f1os (mometasona y triamcinolona), debe ense\u00f1arse la manera correcta de uso, en cuanto a evitar aplicar sobre el tabique, hacerlo con la mano contraria a la fosa nasal en la cual se va a aplicar y la cabeza ligeramente inclinada hacia adelante. Se utilizan una a dos veces al d\u00eda.<\/p><p>Antihistam\u00ednicos orales: Actualmente se recomiendan los antihistam\u00ednicos de 2da. generaci\u00f3n, son la primera l\u00ednea de tratamiento en la rinitis intermitente leve en menores de 2 a\u00f1os, pueden usarse en el paciente que no logra controlar los s\u00edntomas con corticoesteroides nasales en la rinitis persistente moderada o grave. Existen actualmente varios antihistam\u00ednicos en el mercado con diferentes presentaciones y dosificaciones. No se recomienda el uso de antihistam\u00ednicos de 1\u00aa generaci\u00f3n (Clorfeniramina, Difenilhidramina, etc por los efectos colaterales asociados, el tratamiento debe mantenerse por lo menos 2 meses con reevaluaciones para hacer seguimiento, en el caso de no mejorar existen otros medicamentos que pueden asociarse e ir escalando para lograr el control de la patolog\u00eda, tales ser\u00edan: bromuro de ipatropio, descongestionantes nasales (tiempo m\u00e1ximo de administraci\u00f3n 7 d\u00edas) y los inhibidores de leucotrienos (montelukast)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526947\" id=\"e-n-tab-content-1814526947\" data-tab-index=\"7\" style=\"--n-tabs-title-order: 7;\" class=\" elementor-element elementor-element-2c97110 e-flex e-con-boxed e-con e-child\" data-id=\"2c97110\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-4b27bda e-con-full e-flex e-con e-child\" data-id=\"4b27bda\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-81ce6f3 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"81ce6f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b>Inmunoterapia<\/b><\/span><\/p><p>La inmunoterapia es el tratamiento espec\u00edfico para la rinitis al\u00e9rgica y ser\u00e1 en funci\u00f3n del resultado de la evaluaci\u00f3n del paciente por un alerg\u00f3logo, el cual realizar\u00e1 los estudios pertinentes para establecer la etiolog\u00eda y en funci\u00f3n de eso indicarla. Consiste en la administraci\u00f3n de dosis crecientes de un al\u00e9rgeno para modificar la respuesta inmunol\u00f3gica y cl\u00ednica frente a \u00e9l. Para ello se utilizan preparados farmac\u00e9uticos que derivan de extractos de sustancias alerg\u00e9nicas naturales capaces de causar enfermedades al\u00e9rgicas. La misma est\u00e1 recomendada m\u00ednimo 3 a\u00f1os y existen diversas v\u00edas de administraci\u00f3n (v\u00eda sublingual, subcut\u00e1nea, etc)<\/p><p>La inmunoterapia se utilizar\u00e1 en pacientes seleccionados con rinitis al\u00e9rgica moderada-grave (con o sin asma) en los que los s\u00edntomas cl\u00ednicos no se controlan a pesar de las medidas estrictas de control ambiental y tratamiento farmacol\u00f3gico o cuando el al\u00e9rgeno relevante en la aparici\u00f3n de los s\u00edntomas no es evitable o interfiera de forma persistente en su calidad de vida y siempre que no haya contraindicaci\u00f3n.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67c35b1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"67c35b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-2212 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla4_Medicamentos-antialergicos.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/b><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3bad74f elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"3bad74f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><b><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-2213 size-large\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales-1024x614.jpg\" alt=\"\" width=\"1024\" height=\"614\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales-1024x614.jpg 1024w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales-300x180.jpg 300w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales-768x461.jpg 768w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales-1536x922.jpg 1536w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Tabla5_Esteroides-nasales.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/b><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526948\" id=\"e-n-tab-content-1814526948\" data-tab-index=\"8\" style=\"--n-tabs-title-order: 8;\" class=\" elementor-element elementor-element-4f75108 e-con-full e-grid e-con e-child\" data-id=\"4f75108\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-ba8e4df e-con-full e-flex e-con e-child\" data-id=\"ba8e4df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-c7b426b e-con-full e-flex e-con e-child\" data-id=\"c7b426b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-91da40f elementor-widget elementor-widget-text-editor\" data-id=\"91da40f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>Autores<\/strong><\/span><\/p><p>\u00a0Caballero Madelf <sup>1<\/sup> Torres Joselit <sup>2<\/sup><\/p><p><em><sup>1<\/sup><\/em><em>Coordinadora: Pediatra Inmun\u00f3logo. Especialista II Servicio de pediatr\u00eda y Puericultura Hospital Antonio Patricio de Alcal\u00e1. Cuman\u00e1 Sucre. <sup>2<\/sup>Pediatra Alerg\u00f3logo. Jefe del Servicio de Puericultura y Pediatr\u00eda del Hospital Vargas, Distrito Capital. \u00a0<\/em><\/p><p><strong>Nombre autor responsable <\/strong>Caballero Madelf<sup>1<\/sup><\/p><p><strong>Correo: madelfcaba@gmail.com<\/strong><\/p><p>Failure of breastfeeding.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-1814526949\" id=\"e-n-tab-content-1814526949\" data-tab-index=\"9\" style=\"--n-tabs-title-order: 9;\" class=\" elementor-element elementor-element-da2d001 e-con-full e-grid e-con e-child\" data-id=\"da2d001\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-0ec7009 e-con-full e-flex e-con e-child\" data-id=\"0ec7009\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1510\" class=\"elementor-element elementor-element-bc6612a e-con-full e-flex e-con e-child\" data-id=\"bc6612a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af57300 elementor-widget elementor-widget-text-editor\" data-id=\"af57300\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #338fff;\"><strong>BIBLIOGRAF\u00cdA<\/strong><\/span><\/p><ol><li>Bercedo Sanz A, Callen Blecua MT, Guerra P\u00e9rez MT. Gu\u00eda de Algoritmos en Pediatr\u00eda de Atenci\u00f3n Primaria. Manejo de la rinitis al\u00e9rgica. AEPap. 2017 (en l\u00ednea). Disponible en algoritmos.aepap.org<\/li><li>Mora-D\u00edaz- C., D\u00edaz-Oliveros MA., Trujillo-Quijano JG., Silva-Rueda R. Gu\u00eda para el diagn\u00f3stico y el tratamiento de la rinitis al\u00e9rgica. Acta otorrinolaringol. Cir. cabeza cuello.\u00a0 2024; 52 (3): 377-400\u00a0<\/li><li>Mullol Joaquim y Valero Antonio. Actualizaci\u00f3n del manejo de la rinitis al\u00e9rgica. Rev Rinol Gu\u00edas GEMA y MACVIA-ARIA, 2019, VOLUMEN 19; 19 (1): 7-18<\/li><li>Sarah K. Wise MD MSCR et al. International consensus statement on allergy and rhinology: Allergic rinitis-2023. Int Forum Allergy Rhinol 2023; 13:293\u2013859<\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=%22Nur%20Husna%20SM%22%5BAuthor%5D\">Siti Muhamad Nur Husna<\/a>,\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=%22Tan%20HTT%22%5BAuthor%5D\">Hern-Tze Tina Tan<\/a>,\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=%22Md%20Shukri%20N%22%5BAuthor%5D\">Norasnieda Md Shukri<\/a>,\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=%22Mohd%20Ashari%20NS%22%5BAuthor%5D\">Noor Suryani Mohd Ashari<\/a>,\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=%22Wong%20KK%22%5BAuthor%5D\">Kah Keng Wong<\/a>. Allergic Rhinitis: A Clinical and Pathophysiological Overview. Front Med (Lausanne) 2022 Apr 7; 9:874114.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div role=\"region tabpanel\" aria-labelledby=\"e-n-accordion-item-1510 e-n-tab-title-18145269410\" id=\"e-n-tab-content-18145269410\" data-tab-index=\"10\" style=\"--n-tabs-title-order: 10;\" class=\" elementor-element elementor-element-06c0901 e-flex e-con-boxed e-con e-child\" data-id=\"06c0901\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e9715e elementor-widget elementor-widget-text-editor\" data-id=\"4e9715e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-845 aligncenter\" src=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png\" alt=\"\" width=\"52\" height=\"64\" srcset=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_-244x300.png 244w, https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2025\/09\/PDF_file_icon.svg_.png 400w\" sizes=\"(max-width: 52px) 100vw, 52px\" \/><\/p><p style=\"text-align: center;\"><a href=\"https:\/\/videoteca.svpediatria.org\/wp-content\/uploads\/2026\/02\/Guia-Clinica-Rinitis-Alergica.pdf\">Gu\u00eda Cl\u00ednica Rinitis Al\u00e9rgica<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-70532c1 e-flex e-con-boxed e-con e-parent\" data-id=\"70532c1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ba9e983 e-con-full e-flex e-con e-child\" data-id=\"ba9e983\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-1e3ddd9 e-grid e-con-full e-con e-child\" data-id=\"1e3ddd9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ab2e2d6 e-grid e-con-full e-con e-child\" data-id=\"ab2e2d6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f4ca470 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"f4ca470\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-push\" href=\"https:\/\/videoteca.svpediatria.org\/?page_id=624\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-arrow-circle-left\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 504C119 504 8 393 8 256S119 8 256 8s248 111 248 248-111 248-248 248zm28.9-143.6L209.4 288H392c13.3 0 24-10.7 24-24v-16c0-13.3-10.7-24-24-24H209.4l75.5-72.4c9.7-9.3 9.9-24.8.4-34.3l-11-10.9c-9.4-9.4-24.6-9.4-33.9 0L107.7 239c-9.4 9.4-9.4 24.6 0 33.9l132.7 132.7c9.4 9.4 24.6 9.4 33.9 0l11-10.9c9.5-9.5 9.3-25-.4-34.3z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Regresar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Alergias Rinitis Al\u00e9rgica A B C D E F G Autores Bibliograf\u00eda Descargar Gu\u00eda A. Definici\u00f3n Es la inflamaci\u00f3n cr\u00f3nica de la mucosa nasal, que ocurre cuando el sistema inmunitario reacciona de forma anormal a al\u00e9rgenos comunes inhalados (\u00e1caros, p\u00f3lenes, epitelio de animales), que se presenta en ni\u00f1os y adultos en forma recurrente, caracterizada por&hellip;&nbsp;<a href=\"https:\/\/videoteca.svpediatria.org\/?page_id=2196\" rel=\"bookmark\"><span class=\"screen-reader-text\">Alergias<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-pagebuilder-full-width.php","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"class_list":["post-2196","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages\/2196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2196"}],"version-history":[{"count":46,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages\/2196\/revisions"}],"predecessor-version":[{"id":2258,"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=\/wp\/v2\/pages\/2196\/revisions\/2258"}],"wp:attachment":[{"href":"https:\/\/videoteca.svpediatria.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}