A 36-year-old female presents to your clinic complaining of a ten-year history of itchy eyes, sneezing, nasal congestion,

A 36-year-old female presents to your clinic complaining of a ten-year history of itchy eyes, sneezing, nasal congestion, palatal pruritis, and throat scratchiness. Her symptoms are worse in the spring and are increasing in severity. She has tried over-the-counter cetirizine with moderate relief previously. What finding on a physical exam would NOT support your diagnosis? A. Darkening of the skin under eyes B. Fine creases in the lower eyelids C. Nasal-tip transverse crease D. Inferior turbinate hypertrophy unresponsive to topical decongestant spray.