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March 1934


Author Affiliations

Lecturer on diseases due to allergy, College of Medicine of the Ohio State University COLUMBUS, OHIO

Arch Otolaryngol. 1934;19(3):367-369. doi:10.1001/archotol.1934.03790030072008

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Every one who has attempted to establish the atopic character of cases of vasomotor rhinitis has encountered instances in which this was impossible. These cases present a family and personal history that is entirely free from asthma, hay fever, hives and other typical manifestations of atopy. Complete tests of the skin for protein sensitization with extracts of the inhalants, contactants, all of the foods that are taken by the patient and all the ordinary bacteria fail to give a single positive reaction. Yet these patients give a description of their trouble which forces the physician to believe that they suffer from an allergic coryza. Examination of smears from the blood and nasal secretion shows an increase in the eosinophils. Examination of the nasal mucosa reveals the typical pale membrane of an allergic person. Such cases present a real problem both as to diagnosis and as to treatment. It is the

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