Allergy Asthma Proc. 2005 Mar-Apr;26(2):125-8.
Cerebrospinal fluid leak mimicking allergic rhinitis.
Ricketti AJ, Cleri DJ, Porwancher RB, Panesar M, Villota FJ, Seelagy MM.
Rhinitis and rhinorrhea are common clinical complaints that may be allergic or nonallergic in etiology. Distinguishing between allergic and nonallergic etiologies can be difficult but necessary for treatment. Here, we present a case of a 50-year-old woman with > 20 years of rhinorrhea before a diagnosis of cerebrospinal fluid leak and a life-threatening complication occurred. It is essential that no symptom, especially that which persists and resists treatment, is trivialized. Here, we establish how a careful history and evaluation will direct the clinician to the correct diagnosis.
Source : Allergy and Immunology, Department of Medicine, St. Francis Medical Center, 601 Hamilton Avenue, Trenton, NJ 08629-1986, USA.