Sneezing in Pediatrics — 9yo Child | Allergy & Immunology | SMLE Q#14357

SMLE Question #14357

Pediatrics Allergy & Immunology

Objective: OBJ-PED-ALLERGY-ANAPHYLAXIS-VACCINE

Last updated: February 2026
A 9-year-old girl has 1 year of chronic clear rhinorrhea with sneezing and nasal itching. Symptoms occur year-round and worsen with exposure to the family cat and during house cleaning. Examination shows infraorbital darkening and a transverse nasal crease from frequent upward rubbing of the nose. Anterior rhinoscopy reveals pale, boggy nasal mucosa with clear discharge. What is the most likely diagnosis?

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