<p class="abstract"><strong>Background:</strong> Allergic rhinitis is a recurrent or chronic allergen specific type I hypersensitivity disorder. Skin prick testing is an essential test procedure to confirm sensitization in immunoglobulin E mediated allergic diseases presenting with allergic rhinitis.</p><p class="abstract"><strong>Methods:</strong> The present study was a hospital based cross sectional comparative study. Tests were applied to volar aspect of forearm, at least 2-3 cm from the wrist. 56 allergens were tested on patient`s body as the allergist watches for signs of an allergic skin reaction. The negative (-), positive (+), (+++) and (++++) results were assessed. </p><p class="abstract"><strong>Results:</strong> Out of 100 study subjects, most of the study subjects were from age group 31-40 years of age (46%) followed by 41-50 (30%). Very few i.e. 3% were less than 19 years of age. Out of total majority were male (57%) and 43% were female. Most of the females were from age group 31-40 i.e. 26%. Sensitivity of the skin prick test was 89.01% and specificity was 100%.</p><p class="abstract"><strong>Conclusions:</strong> Skin prick test is a very sensitive test to diagnose allergens. Sneezing was the most common symptom and dust was the most common aero-allergen found.</p>
Introduction: Pyogenic granuloma is a benign lesion of unknown etiology that occurs in the skin and mucous membrane. It has been reported as a common lesion in oral cavity and less commonly in nasal cavity. Although its etiology is unclear, pyogenic granuloma is commonly associated with pregnancy, oral contraceptives and trauma. Case: A 22 year old female patient with 7 months of amenorrhoea came to ENT opd with complaints of epistaxis and swelling in left nasal cavity ultimately diagnosed as pyogenic granuloma. The patient was treated with endoscopic excision of nasal mass under general anesthesia. The management of pregnant female with such lesion was challenging, so we had to operate her. Even radiation exposure was a risk while radioimaging before surgery. Conclusion: Pyogenic granuloma is rapidly growing lesion that should be considered in the differential diagnosis of gravid patient with oral and nasal mass. Early excision of mass helped in avoidance of further complications such as fetal distress, low birth weight and reduces maternal mortality and morbidity.
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