What physical findings of pediatric allergic rhinitis are noted in the nose?

Updated: Jun 04, 2021
  • Author: Jack M Becker, MD; Chief Editor: Harumi Jyonouchi, MD  more...
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Answer

Nasal examination is often helpful in the diagnosis.

Turbinates are enlarged and have a pale-bluish mucosa due to edema.

Discharge is usually clear but can be white. The discharge is rarely yellow or green. If colored discharge is observed, a diagnosis of viral infection or sinusitis should be considered.

Dried blood is commonly observed secondary to trauma from rubbing the nose.

Polyps are rarely observed in children. If polyps are noted or suspected, perform rhinoscopy. If polyps are detected, a workup for cystic fibrosis is mandatory in children. Also consider the diagnosis of aspirin sensitivity in adults.


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