Allergic Rhinitis

Question 1

Which antibody mediates allergic rhinitis?

Answer 1

IgE

Question 2

Nasal smear in allergic rhinitis will typically show what kind of cells?

Answer 2

Eosinophils

Question 3

What are Dennie-Morgan lines?

Answer 3

Wrinkles below the eyes associated with allergic rhinitis.

Question 4

You have examined a 10 year old boy in whom you suspect allergic rhinitis. You see a nasal polyp. Should you be concerned?

Answer 4

YES. Polyps are not common in allergic rhinitis and this should trigger you think of CF or fungal sinusitis.

Question 5

What is the most effective medical therapy for allergic rhinitis?

Answer 5

Nasal corticosteroids

Question 6

How would you advise a family to decrease dust mite exposure to their allergic 11 year old daughter?

Answer 6

Wash sheets in 140 degree water.
Impermeable mattress and pillow covers.
Humidity

Question 7

A 7 year old girl returns to clinic for follow-up of allergy symptoms. Parents found a new home for their cat two months ago. The daughter was allergic to the cat. What do you advise they do now?

Answer 7

Wait and clean whatever else you can. Cat dander is potent for up to 4 months.