A 34-year old women with severe perennial allergic rhinitis has been losing 10 - 15 days of work each year

Question Number 0411

Question:
A 34-year old women with severe perennial allergic rhinitis has been losing 10 - 15 days of work each year as a result of secondary sinusitis. A skin test shows a significant positive reaction to grass-pollen. Various medications have been only partially successful in controlling symptoms The most appropriate treatment at this stage would include

a) Antigen avoidance
b) immunotherapy against the known offending antigen
c) Antihistamine-decongestant preparation
d) Topical adrenergic agonist
e) oral adrenergic agonist


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