James Bartley, MD

Physical clues to allergic rhinitis include the allergic crease on the dorsum of the nose and allergic "shiners" or periorbital ecchymosis.

A 14-year-old girl is seen because of long-standing nasal itch, intermittent nasal congestion, and clear nasal discharge. Allergies to house dust mites and to cats shown on prior skin testing. Often has marked eye swelling when exposed to cats. Receives antihistamines when in flare-up and prior to cat exposure. The consumption of dairy products exacerbates all of the above.