Allergic Shiners

Marks, Meyer B.

doi:10.1177/000992286600501106

Cited by 28 publications

(11 citation statements)

References 3 publications

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“…In the present study we have described EIM in children with GIFA and found them to be increased compared with a control group of patients with IBD. Atopic conditions have been described in the literature to be associated with each of the EIM reported in the present study: fatigue (13), allergic shiners (14,15), mouth ulcers (16), joint pain/hypermobility (17), night sweats (18), poor sleep (19,20), headache (21,22), and enuresis (23), although the mechanisms are not fully understood. We have described the presence of all of them in a large cohort of children with GIFA.…”

Section: Discussionmentioning

confidence: 70%

“…The first report of EIM in atopy related to allergic shiners and was published in 1966 (14). Since then, allergic shiners have been typically attributed to atopy, especially to allergic rhinitis.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Extraintestinal Manifestations in Children With Gastrointestinal Food Allergy

Domínguez-Ortega

Borrelli²,

Dziubak³

et al. 2014

J. pediatr. gastroenterol. nutr.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Extraintestinal Manifestations in Children With Gastrointestinal Food Allergy

Domínguez-Ortega

Borrelli²,

Dziubak³

et al. 2014

J. pediatr. gastroenterol. nutr.

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“…The effect of light on this tissue would favour a faint bluish colouration. In 1966, Marks[7] made an association between hyperchromia of the skin in the orbital region and allergic rhinitis in children. The pathogenesis of such discolouration would come from venous stasis.…”

Section: Introductionmentioning

confidence: 99%

Determination of melanin and haemoglobin in the skin of idiopathic cutaneous hyperchromia of the orbital region (ICHOR): A study of Indian patients

Verschoore

Gupta

Sharma

et al. 2012

J Cutan Aesthet Surg

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Background:Idiopathic cutaneous hyperchromia at the orbital region (ICHOR) is a cutaneous hyperchromia characterised by bilateral darkening of the eyelid and orbital skin that contrasts with the adjoining facial skin. ICHOR is frequent in dark skin. It interferes with the face appearance which often causes difficulties in societal acceptance and may impact quality of life.Objective:The aim of this investigation was to study the epidemiology, clinical features and risk factors associated with ICHOR in Indian patients and also to study the distribution of melanin and haemoglobin in ICHOR patients. This study also assessed the relevance of SIAscopy technique (spectrophotometric intracutaneous analysis (SIA)), a new objective non-invasive method to measure melanin and haemoglobin concentration in vivo.Materials and Methods:Thirty-three patients diagnosed with ICHOR at the All India Institute of Medical Sciences, New Dehli, India, were included in the study. Epidemiological data were collected through a self-administrated questionnaire. Standard photographs were taken from each patient and SIAscopy measurements were done on dark circles and normal skin.Results:Surprisingly our study showed no significant correlation between ICHOR prevalence and family history, atopic and contact dermatitis, contemporaneous melasma and hormonal factors. The study confirms that sun exposure is a risk factor of dark circles aggravation. Indeed patients tend to reduce sun exposure after the onset of dark circles. SIAscopy analysis reveals significant differences in the concentration of total melanin, of dermal melanin and of haemoglobin between ICHOR skin and normal skin of the same patient.Conclusion:This study confirms that melanin deposits and blood stasis in dark circles may play a role in ICHOR pathogenesis and cause the darkening of skin under eyes. SIAscopy provides objective diagnostic information about ICHOR.

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“…As a result, we may observe the characteristic horizontal line near the tip of the nose ( allergic crease ) [20]. Dark discoloration of the periorbital skin ( allergic shiners ) [21], folds of the lower eyelids ( Dennie–Morgan lines ) may further support our diagnosis [10]. Signs of conjunctivitis such as red, watery eyes, hyperaemia of conjunctiva, and eye rubbing are typically present; especially in pollen-induced AR.…”

Section: Allergic Rhinitismentioning

confidence: 99%

Differentiating Rhinitis in the Paediatric Population by Giving Focus on Medical History and Clinical Examination

et al. 2019

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Chronic rhinitis is defined as an inflammation of the nasal epithelium, and is characterized by the presence of two or more specific nasal symptoms including obstruction, rhinorrhea, sneezing, and/or itching for at least 12 weeks. In childhood, this clinical entity is very common and carries a significant socioeconomic burden. The impact on the physical, social, and psychological well-being of family cannot be underestimated. Rhinitis is an umbrella term which includes different phenotypes of rhinitis with distinct underlying pathophysiologic mechanisms. In most cases the diagnosis of rhinitis is rather straightforward; however, sometimes when based on clinical symptomatology, characterization may be challenging. Herein, we provide guidance for getting all the data needed for the differential diagnosis of rhinitis based on medical history and clinical examination.

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Allergic Shiners

Cited by 28 publications

References 3 publications

Extraintestinal Manifestations in Children With Gastrointestinal Food Allergy

Extraintestinal Manifestations in Children With Gastrointestinal Food Allergy

Determination of melanin and haemoglobin in the skin of idiopathic cutaneous hyperchromia of the orbital region (ICHOR): A study of Indian patients

Differentiating Rhinitis in the Paediatric Population by Giving Focus on Medical History and Clinical Examination

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