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Allergic Shiner
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. While a classic finding in pediatric patients with allergic rhinitis Allergic rhinitis, of which the seasonal type is called hay fever, is a type of inflammation in the nose that occurs when the immune system overreacts to allergens in the air. It is classified as a type I hypersensitivity reaction. Signs a ..., these particular shiners will persist into adulthood if their allergies are not successfully addressed. ...
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Allergic Rhinitis
Allergic rhinitis, of which the seasonal type is called hay fever, is a type of inflammation in the nose that occurs when the immune system overreacts to allergens in the air. It is classified as a type I hypersensitivity reaction. Signs and symptoms include a runny or stuffy nose, sneezing, red, itchy, and watery eyes, and swelling around the eyes. The fluid from the nose is usually clear. Symptom onset is often within minutes following allergen exposure, and can affect sleep and the ability to work or study. Some people may develop symptoms only during specific times of the year, often as a result of pollen exposure. Many people with allergic rhinitis also have asthma, allergic conjunctivitis, or atopic dermatitis. Allergic rhinitis is typically triggered by environmental allergens such as pollen, pet hair, dust, or mold. Inherited genetics and environmental exposures contribute to the development of allergies. Growing up on a farm and having multiple older siblings ...
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Dennie–Morgan Fold
A Dennie–Morgan fold, also known as a Dennie–Morgan line or an infraorbital fold, is a fold or line in the skin below the lower eyelid. It can simply be an ethnic/genetic trait, but was found in one study to occur in 25% of patients with atopic dermatitis. The presence of Dennie–Morgan folds can be used as a diagnostic marker for allergy, with a sensitivity of 78% and specificity of 76% for atopic dermatitis according to one study, although another study found them to be of diagnostic significance in atopic dermatitis. The condition was described by Charles Clayton Dennie and David B. Morgan in 1948. The pathophysiology of this sign is not clear. One proposed mechanism is that continuous spasm of the superior tarsal muscle and skin edema could be due to hypoxia from poor circulation. A Dennie–Morgan fold should not be confused with an "allergic shiner", which is a purple-gray discoloration with associated fullness beneath the lower eyelid. This is related to the accu ...
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Venous Congestion
Venous stasis, or venostasis, is a condition of slow blood flow in the veins, usually of the legs. Presentation Complications Potential complications of venous stasis are: * Venous ulcers * Blood clot formation in veins (venous thrombosis), that can occur in the deep veins of the legs (deep vein thrombosis, DVT) or in the superficial veins * Id reactions Causes Causes of venous stasis include: * Obesity * Pregnancy * Previous damage to leg * Blood clot * Smoking * Swelling and inflammation of a vein close to the skin * Congestive heart failure. * Long periods of immobility that can be encountered from driving, flying, bed rest/hospitalization, or having an orthopedic cast. Recommendations by clinicians to reduce venous stasis and DVT/PE often encourage increasing walking, calf exercises, and intermittent pneumatic compression Intermittent pneumatic compression is a therapeutic technique used in medical devices that include an air pump and inflatable auxiliary sleeves, gloves ...
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Infraorbital Groove
The infraorbital groove (or sulcus) is located in the middle of the posterior part of the orbital surface of the maxilla. Its function is to act as the passage of the infraorbital artery, the infraorbital vein, and the infraorbital nerve. Structure The infraorbital groove begins at the middle of the posterior border of the maxilla (with which it is continuous). This is near the upper edge of the infratemporal surface of the maxilla. It passes forward, and ends in a canal which subdivides into two branches. The infraorbital groove has an average length of 16.7 mm, with a small amount of variation between people. It is similar in men and women. Function The infraorbital groove creates space that allows for passage of the infraorbital artery, the infraorbital vein, and the infraorbital nerve. Clinical significance The infraorbital groove is an important Landmark, surgical landmark for Local anesthesia, local anaesthesia of the infraorbital nerve. See also * Infraorbital f ...
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Nose
A nose is a sensory organ and respiratory structure in vertebrates. It consists of a nasal cavity inside the head, and an external nose on the face. The external nose houses the nostrils, or nares, a pair of tubes providing airflow through the nose for Respiration (physiology), respiration. Where the nostrils pass through the nasal cavity they widen, are known as nasal fossae, and contain nasal concha, turbinates and olfactory mucosa. The nasal cavity also connects to the paranasal sinuses (dead-end air cavities for pressure buffering and humidification). From the nasal cavity, the nostrils continue into the pharynx, a switch track valve connecting the respiratory system, respiratory and digestive systems. In humans, the nose is located centrally on the face and serves as an alternative respiratory passage especially during suckling for infants. The protruding nose that is completely separate from the mouth part is a characteristic found only in theria, therian mammals. It has b ...
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Orbit (anatomy)
In anatomy Anatomy () is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old scien ..., the orbit is the Body cavity, cavity or socket/hole of the skull in which the eye and Accessory visual structures, its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is about , of which the eye occupies . The orbital contents comprise the eye, the Orbital fascia, orbital and retrobulbar fascia, extraocular muscles, cranial nerves optic nerve, II, oculomotor nerve, III, trochlear nerve, IV, trigeminal nerve, V, and abducens nerve, VI, blood vessels, fat, the lacrimal gland with its Lacrimal sac, sac and nasolacrimal duct, duct, the eyelids, Medial palpebral ligament, medial and Lateral palpebral raphe, lateral palpebr ...
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Sphenopalatine
Sphenopalatine may refer to: * sphenopalatine artery, an artery of the head, commonly known as the artery of epistaxis * sphenopalatine ganglion (or "pterygopalatine ganglion") * sphenopalatine nerves * sphenopalatine foramen The sphenopalatine foramen is a foramen of the skull that connects the nasal cavity and the pterygopalatine fossa. It gives passage to the sphenopalatine artery, nasopalatine nerve, and the superior nasal nerve (all passing from the pterygopala ...
, a foramen in the skull that connects the nasal cavity with the pterygopalatine fossa {{disambiguation ...
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