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Arch Otolaryngol Head Neck Surg. 2003;129:588-589.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In his article Dr Smith discusses an important problem affecting millions of patients—chronic rhinitis. He does an excellent job of reviewing the most common forms of rhinitis, including allergic rhinitis, nonallergic rhinitis with eosinophilia syndrome (NARES), and vasomotor rhinitis. More exhaustive lists of the differential diagnosis may be found in standard texts and review articles.^1-2

Figure appears in full text version. Jacquelynne P. Corey, MD

The precise physiological mechanism present in vasomotor rhinitis is unknown; Dr Smith has described a possible mechanism for vasomotor rhinitis that involves dysregulation of the autonomic nervous system. This is not a new idea; references are quoted from 1950³ and 1951.⁴ Recent studies, including Dr Smith's own studies,^5-8 are also suggestive of this mechanism. What we do not understand is how this exactly relates or does not relate to other rhinitides, such as allergic rhinitis, chronic infectious rhinosinusitis, NARES, rhinitis medicamentosa, or endocrine rhinitis (such as that caused by pregnancy or . . . [Full Text of this Article]

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