A 3.5-year-old boy presents with his mother as a new patient to your practice. His mother describes that he has been snorting and sniffing, and has been congested and plugged up for a few months. The patient intake form that his mother completed before the visit notes that the symptoms might have started 6-8 months ago, although she does not remember any specific starting date. She thinks that the symptoms worsen when they visit her in-laws on the farm and friends who have cats. He has had 2 ear infections in the past 4 months. She does not report him having any wheezing or coughing. His immunizations are all up-to-date, and he has never had any surgeries or hospitalizations. He is the product of a normal full-term pregnancy and delivery.
Q1. In physical finding the picture below is seen. What are those lines beneath his lower eyelids?
Q2. What is your diagnosis?
![](https://lh3.googleusercontent.com/blogger_img_proxy/AEn0k_v64H5y2TCsrBYnh1avYRnuHrbDuzgYw6wJBeQYwM42LbrovvCiyd2rBRRA3Mpv37XFIGzfYqfiZFIDSt72Pkdhg7EepBMEUAKe8TiZChUhscqc0wXwzEsfd2rsOjKk8G7KRbI4l5hKL2ZV2UWORtBZtcI0gkIC9BD0EIxXL6Io2lg-9q8oCnOWPD3_Pg=s0-d)
Q1. In physical finding the picture below is seen. What are those lines beneath his lower eyelids?
Q2. What is your diagnosis?
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