Eifan AO, Keles S, Bahceciler NN, Barlan IB*
Marmara University Medical Faculty, Division of Pediatric Allergy & Clinical Immunology, Istanbul, Turkey
A twelve year old girl, with a history of cough, wheezing, sneezing and dyspnea for a period of ten years, was consulted at our department for evaluation. She had her complains exacerbated 3-4 times per year. She had nocturnal cough, awakening her more than twice per month with seasonal runny nose/sneezing complaints. She had a history of recurrent sinusitis since 5 years old, 2 to 3 times annually. She had no history of admission.
She was a second child from first degree consanguineous parents. Her eighteen year old brother was treated for hepatitis C. Her mother suffers from systemic lupus erythematosus (SLE). Her father had a history of acute rheumatic fever. The immunisations were done on time.
The anthropometric measurements were as follows: weight: 53 kg (75-90%), height: 160 cm (75-90%). On physical examination, muco-purulent nasal discharge and bilateral wheezing on auscultation was detected. Otherwise her systemic physical examination findings were normal.
What is your differential diagnosis