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A 15-year-old girl is seen for a follow-up visit to treat seasonal allergic rhinitis. She has classic symptoms of the condition, including nasal congestion and rhinorrhea (without signs of purulence), scleral injection, and watery discharge from the eyes. Her symptoms worsen in the spring when she plays softball outside. She has not had adequate response to empiric treatment, including frequently washing her clothes and bed linens and avoidance of freshly cut grass. She was prescribed combination antihistamine and corticosteroid intranasal spray without adequate relief.
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2. American Academy of Ophthalmology. Conjunctivitis PPP 2013. Accessed March 17, 2017 at https://www.aao.org/preferred-practice-pattern/conjunctivitis-ppp--2013
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