TY  - CHAP
M1  - Book, Section
TI  - Allergic Rhinitis
A1  - Schroer, Brian
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
Y1  - 2015
N1  - 
T2  - The Color Atlas of Pediatrics
AB  - A  9-year-old  girl  presents  to  her  pediatrician  for  constant  nasal  congestion,  runny  nose,  and  intermittent  bouts  of  sneezing  and  itching.  Her  symptoms  occur  year-round  with  increased  symptoms  in  the  spring  and  fall.  On  examination  she  has  dark  circles  under  her  eyes  (“allergic  shiners”;  Figure  215-1),  bilateral  conjunctivitis  (Figure  215-2),  swollen,  pale,  inferior  turbinates,  and  a  copious  clear  watery  nasal  discharge  (Figure  215-3).  Over-the-counter  antihistamines  have  helped  minimally  so  she  is  given  a  prescription  for  a  nasal  steroid  spray  to  use  daily.  This  significantly  improves  but  does  not  eliminate  the  symptoms.  She  is  seen  by  an  allergist  who  obtains  a  history  that  she  sleeps  on  feather  pillows,  lives  with  two  cats,  and  also  has  eye  itching  and  redness  when  outside  in  the  spring.  Skin  prick  testing  to  local  environmental  allergens  shows  positive  reactions  to  dust  mites,  cats,  and  grass  and  ragweed  pollens  (Figures  215-4  and  215-5).  Recommendations  for  avoidance  of  the  dust  mites,  cats,  and  the  outdoor  pollens  were  given.  Her  technique  and  adherence  with  the  nasal  steroids  was  discussed  and  she  was  given  nasal  antihistamines  to  treat  breakthrough  symptoms.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114880305
ER  -