Patient case: Allergic Rhinitis Dust Mite Allergy
A 25-year-old male presents with a 3-year history of intermittent sneezing, itchy nose, and watery eyes, primarily during the spring and fall seasons. He reports that these symptoms worsen when he is in dusty environments, particularly in his bedroom, where he spends most of his time. He mentions that his symptoms improve when he is away from home, such as when traveling or during vacations. On examination, the patient has clear nasal discharge, congestion, and pale, swollen nasal turbinates. Skin prick testing reveals a significant sensitivity to dust mites. Based on his clinical presentation and allergy test results, the diagnosis of allergic rhinitis due to dust mite allergy is confirmed. He is advised to use antihistamines for symptom relief and nasal corticosteroids for better long-term control. The patient is also advised to reduce exposure to dust mites by using allergen-proof bed covers and regularly washing bedding in hot water
A) Acute sinusitis
B) Allergic rhinitis due to dust mite allergy
C) Nasal polyps
D) Chronic rhinosinusitis
A) Pollen
B) Dust mites
C) Animal dander
D) Mold
A) Oral antibiotics
B) Intranasal corticosteroids
C) Decongestants
D) Oral antihistamines
A) Use of an air purifier in the home
B) Avoidance of outdoor activities during the morning
C) Smoking cessation
D) Increase in exercise frequency
Answers
1. B) Allergic rhinitis due to dust mite allergy
2. B) Dust mites
3. B) Intranasal corticosteroids
4. A) Use of an air purifier in the home
