Discoloration below the eye associated with allergic rhinitis
Medical condition
Allergic shiner
Symptoms
Infraorbital venous congestion and edema
Causes
Allergic rhinitis
Differential diagnosis
Facial trauma, inflammatory disease
An allergic shiner is a dark discoloration below the eye that is associated with allergic rhinitis and is often seen in conjunction with bilateral Dennie–Morgan folds. These shiners are caused by venous congestion within the infraorbital groove, particularly from the nose. The characteristic infraorbital discoloration related to allergic shiners is due to a backup in the venous network supplying the mucous membranes of the paranasal and nasal cavities draining primarily via the branches of the sphenopalatine veins passing backward to the pterygoid plexus.[1] While a classic finding in pediatric patients with allergic rhinitis, these particular shiners will persist into adulthood if their allergies are not successfully addressed.
The phenomenon was first documented in 1930, with the phrase being coined in 1954.[2][3]
^Marks, MB (November 5, 1966). "Allergic shiners. Dark circles under the eyes in children". The Journal of Clinical Pediatrics. 11 (5): 665–658. doi:10.1177/000992286600501106/. PMID 5926923.
^Chen, Chien-Han; Lin, Yu-Tsan; Wen, Che-Yen; Wang, Li-Chieh; Lin, Kuo-Hung; Chiu, Shih-Hsuan; Yang, Yao-Hsu; Lee, Jyh-Hong; Chiang, Bor-Luen (March 2009). "Quantitative assessment of allergic shiners in children with allergic rhinitis". The Journal of Allergy and Clinical Immunology. 123 (3): 665–671, 671.e1–6. doi:10.1016/j.jaci.2008.12.1108. ISSN 1097-6825. PMID 19281911.
^S., Bickley, Lynn (2009). Bates' guide to physical examination and history taking. Szilagyi, Peter G., Bates, Barbara, 1928-2002. (10th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9780781780582. OCLC 181600948.{{cite book}}: CS1 maint: multiple names: authors list (link)
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