Allergic rhinitis

Case history

A 22-year-old student presents with a 5-year history of worsening nasal congestion, sneezing, and nasal itching. Symptoms are year-round but worse during the spring season. On further questioning it is revealed that he has significant eye itching, redness, and tearing as well as palatal and throat itching during the spring season. He remembers that his mother told him at some point that he used to have eczema in infancy.