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2015 ; 372
(5
): 456-63
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Clinical practice Allergic rhinitis
#MMPMID25629743
Wheatley LM
; Togias A
N Engl J Med
2015[Jan]; 372
(5
): 456-63
PMID25629743
show ga
A 35-year-old woman has a history of nasal congestion on most days of the year,
dating back to her late teens. She has chronic nasal drainage, which is clear and
thick. Her congestion is worst in the late summer and early fall and again in the
early spring; at these times, she also has sneezing, nasal itching, and cough.
Five years ago, she had an episode of shortness of breath with wheezing on a day
when her nasal symptoms were severe, but this episode resolved spontaneously and
has not recurred. Her eyes do not bother her. Over-the-counter oral
antihistamines help her symptoms a little, as do nasal decongestants, which she
uses occasionally. Her 6-year-old son has similar symptoms. How should this case
be managed?
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