Allergic Rhinitis and Migraine
The following case is reported to demonstrate the rôle of allergy in a case of rhinitis and migraine of long duration.
Report of Case
The patient, a single woman, 39 years of age, came to the Clinic on June 25, 1937, for a general physical examination. She was a graduate nurse and had three major complaints: persistent nasal discharge and attacks of bronchitis which had been present for many years; sick headaches all her life, and varicose veins.
Since the age of 14 years, she had had chronic nasal symptoms which were characterized chiefly by a perennial anterior and posterior nasal discharge of yellowish-green, purulent mucus. These symptoms were more severe during cold weather, at which time she had frequent “head colds.” Her nose was constantly congested and at times the discharge was watery rather than purulent. Several times every year and occurring at any season, she had an attack of bronchitis which lasted for two or three weeks. Much operative work, including a submucous resection at the age of 14, had been done in an effort to relieve these symptoms. Polypi were removed at the age of 15 and when 22 a tonsillectomy was performed. Washings of the antra were then tried for several years and finally an antrotomy on the right side was performed one year preceding her visit to the Clinic. Since that time there had been gradual improvement in the symptoms although they were still troublesome. Therapy with autogenous vaccine was tried but was discontinued because. . .