血管运动性鼻炎的症状多变，主要包括鼻塞、流清涕、咳嗽，但打喷嚏、鼻痒相对少见。症状可以呈持续性，也可以是间歇性。间歇性多见于诱因可规避时。
常见诱因包括温湿度变化、气压变化、气体刺激物、强烈气味、烟草烟雾、香水香氛、运动等。患者可能只有一种诱因，也可能有多种诱因。诱因的作用可以叠加，例如，存在香烟烟雾时，冷空气就能诱发更多症状。
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