What criteria should I use to refer a patient with severe allergic rhinitis to an allergist?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 14 August 2025Updated: 14 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

For a patient with severe allergic rhinitis, referral to an allergy specialist may be considered if they have multisystem disease, such as both nasal and respiratory symptoms ,. The purpose of this referral is for allergen identification, which can assist with avoidance strategies ,.

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