A 28-year-old female, working as a librarian, presents with a 3-week history of sneezing, nasal congestion, and clear rhinorrhea. She denies fever, cough, or other respiratory symptoms. She reports increased symptoms in the morning and during the day, particularly when she is near plants outside the library. She takes no medications regularly and has no known allergies. What is the most likely diagnosis??
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Mostly Allergic Rhinitis exacerbated by the plants/pollen allergy. Symptoms timed around diurnal variation. Managed by cortico-steroid nasal sprays, fluticasone, mometasone, etc once at the start of the day.
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Allergic Rhinitis?
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Hay fever or Allergic rhinitis- caused due to inflammation in nose.
Can be seasonal or persist for years.
Symptoms:
-Running nose
-Sneeze
-Nasal congestion
-Itching in eyes
Diagnosis:
-Skin prick test
-CBC
-Ig E Ab elevated
Treatment:
-Antihistamines
-Decongestant- nasal and eye
Management:
-Avoid contact with allergens
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The most likely diagnosis is allergic rhinitis.
Symptoms include sneezing, nasal congestion, and clear rhinorrhea.
Plant allergens likely trigger her symptoms.
Absence of fever and cough supports an allergic cause.
Symptoms worsen near plants, indicating an allergic trigger.
Avoidance of triggers and medications can help manage symptoms.
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The most likely diagnosis is allergic rhinitis, given the chronic sneezing, clear rhinorrhea, nasal congestion, and symptom worsening with plant exposure. The absence of fever or cough and a clear trigger suggest an allergic rather than infectious cause.
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Allergic rhinitis most probably
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Most likely it’s Allergic Rhinitis.
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