A 15-year-old with poorly controlled chronic urticaria is unresponsive to high-dose nonsedating H1 antihistamines. What is the recommended next-line therapy for adolescents?
A 5-year-old boy has a history of frequent sneezing, watery nasal discharge, and itchy eyes every spring. Parents ask about the most effective year-round environmental measure to reduce exposure to house dust mite allergen.
A 14-year-old girl with persistent nasal congestion and clear discharge has edematous, boggy, bluish nasal mucosa and swollen turbinates obstructing the airway. Which laboratory finding is most useful to support the diagnosis of allergic rhinitis?
A 12-year-old with atopic dermatitis develops eczema herpeticum and is hospitalized. Which additional laboratory finding would prompt immediate evaluation for an underlying immunodeficiency?
A 10-year-old boy with recurrent nasal obstruction, clear rhinorrhea, and sneezing tests positive for grass pollen on skin-prick testing. What is the recommended first-line pharmacological therapy for mild-intermittent allergic rhinitis in children?
A 4-month-old with atopic dermatitis is being breastfed and passes blood-streaked stools. He is otherwise healthy and thriving. What dietary change is most indicated for the mother?
A 12-year-old male with asthma and allergic rhinitis is found to have a polymorphism in the filaggrin gene. Which clinical finding is most likely in this patient’s history?
A 7-year-old boy with a history of atopic dermatitis presents with episodic wheezing and dry cough, worse at night and with exercise, but with normal chest findings at clinic. Which feature best supports the diagnosis of asthma?
A 6-year-old with severe atopic dermatitis and very high serum IgE is found to have a pathogenic variant in FOXP3. Which set of symptoms is most likely in this patient?
A 10-year-old child with chronic atopic dermatitis, asthma, and seasonal allergies has a positive family history. His grandmother has asthma, and his mother had allergic rhinitis. What is the estimated risk that a child will develop an allergic disease if both parents are allergic?
