Local allergic rhinitis or local allergic conjunctivitis?

Edyta Krzych-Fałta; Oksana Wojas

doi:10.5114/pja.2023.133064

eISSN: 2391-6052
ISSN: 2353-3854

Alergologia Polska - Polish Journal of Allergology

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4/2023
vol. 10

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abstract:

Case report

Local allergic rhinitis or local allergic conjunctivitis?

Edyta Krzych-Fałta

¹

,

Oksana Wojas

²

Department of Basic Nursing, Warsaw, Poland, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
Department of Environmental Hazards, Allergology and Immunology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland

Alergologia Polska – Polish Journal of Allergology 2023; 10, 4: 310–314

DOI: https://doi.org/10.5114/pja.2023.133064

Online publish date: 2023/11/20

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Differential diagnosis of the local allergic reaction is mainly based on conjunctival, nasal and bronchial provocation tests, which, in theory, may lead to further treatment. The most common local response can be observed in the nasal mucosa. In the long run, it may manifest itself by coexisting local reactions in other areas such as the eye and/or bronchial tree. In a 45-year-old patient who has been experiencing health problems typical for grass/grain allergy for nearly 10 years, two challenges were carried out, i.e. nasal and conjunctival provocation tests, and the latter elicited a highly positive response to the applied allergen compared to the intranasal route. When there are clinical discrepancies in the local allergic reaction, allergen provocation tests should be considered in the differential diagnosis and, when the results are negative, conjunctival challenge should be considered as well.

keywords:

Local allergic rhinitis or local allergic conjunctivitis?

Edyta Krzych-Fałta 1 , Oksana Wojas 2

allergy, conjunctival allergen challenge, local allergic conjunctivitis, local allergic rhinitis, nasal allergen challenge, differential diagnosis

Edyta Krzych-Fałta

¹

,

Oksana Wojas

²