Itchy Eyes in Pediatrics — 9yo Child | Allergy & Immunology | SMLE Q#13576
SMLE Question #13576
Pediatrics
Allergy & Immunology
Objective: OBJ-PED-ALLERGY-ANAPHYLAXIS-VACCINE
Last updated: February 2026
A 9-year-old boy has 6 weeks of sneezing, nasal congestion, and clear rhinorrhea each spring, worse when playing outdoors, with itchy eyes and nose. He has had only partial relief after 3 weeks of a second-generation oral antihistamine and still has troublesome congestion and sneezing affecting sleep and school. Examination shows pale, boggy nasal turbinates with clear discharge. What is the most appropriate next step in management?
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