Other features of AR may include congestion and swelling of the palpebral conjunctivae with excess tear production, dark circles around the eyes ("allergic shiners
"), retraction of the tympanic membrane, prominent tissue on the posterior pharynx (cobble stoning), tonsillar hypertrophy, and a high-arched palate.
Marshall said on top of itchy eyes or noses, other tell-tale signs of allergies in children include allergic shiners
, dark circles under the eyes, or allergic salutes.
In some people, congestion of the blood vessels in and around the eyes can cause dark circles to form around the eyes, called "allergic shiners
." Eyelid swelling is also a sign of seasonal allergic conjunctivitis that can have permanent effects on the skin surrounding the eye.
Many of these patients will have allergic facies which may include allergic shiners
, facial pallor, a nasal crease and the allergic salute (Fig.
* "Allergic shiners
"--dark circles under the eyes caused by nasal congestion
During the interview, one might also detect signs of allergy, such as "allergic shiners
" (periorbital edema), the "allergic salute," and urticaria.
And finally, you might have what is called "allergic shiners
." Certain allergies can cause blood to collect near the sinuses under the eyes and cause the darker color.
* Allergic shiners
(dark circles under the eyes caused by increased blood flow near the sinuses)