1/6/2024 0 Comments Allergic salute![]() However, given that allergic rhinitis is the commonest chronic disorder of children, it is often a safe inference to connect this feature to a history of long-standing "stuffiness" and clear nasal discharge. 1 The predictive value of this common sign for allergic rhinitis is debated, 2,3 which makes sense in that the venous congestion that underlies it-perhaps along with a smidgeon of melanocyte stimulation-can result from any inflammatory process in the periocular tissues, whether allergic or other. Black eyes are most closely associated with trauma, typically a punch in the face, but have many other causes. The common association with asthma warrants parallel exploration and monitoring over time.Īllergic rhinitis is associated with two other "allergic" signs: Allergic shiners perpetuate the old slang term for a black eye, itself a highly descriptive lay term for periorbital ecchymosis. Thus, any associated atopic eczema might be turned up only by personal or family history, or wider examination of skin, especially for dry skin in the elbow or knee flexures. In scrutinizing the entire facies, one notes no visible eczema, no discernible local swelling including about the eyelids, nor any ocular discharge. Faint but definite darkenings of skin beneath each eye constitute mild allergic shiners. One further observes ( Figure) a subtle transverse allergic crease on the dorsum of the nose, a residue of many prior salutes. ![]() The salute relieves local nasal itching, can move discharge away, and may ease passage of air through the nose. The gesture is called an allergic salute by analogy to raising the hand to mid-face in a military salute, and is a good though not pathognomonic marker of allergic rhinitis, which is confirmed by the history. ![]() This maneuver does not merely wipe away nasal discharge, which would be better accomplished, in the absence of tissue or handkerchief, by the back of the sleeve or worse yet with cupped hand or pincer use of thumb and forefinger. This teenager has pressed her right palm against the tip of her nose, pushing it toward her mid-face so as to compress the nose and perhaps widen the external aperture of each naris. No dry skin found in elbow or knee flexures. Serious expression lightens appropriately with conversation. The consumption of dairy products exacerbates all of the above. Receives antihistamines when in flare-up and prior to cat exposure. Often has marked eye swelling when exposed to cats. Allergies to house dust mites and to cats shown on prior skin testing. The timestamp is only as accurate as the clock in the camera, and it may be completely wrong.A 14-year-old girl is seen because of long-standing nasal itch, intermittent nasal congestion, and clear nasal discharge. If the file has been modified from its original state, some details such as the timestamp may not fully reflect those of the original file. This file contains additional information such as Exif metadata which may have been added by the digital camera, scanner, or software program used to create or digitize it.
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