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.
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