Allergic Facies: Characteristic Facial Features of Allergy

Allergic facies describes the constellation of facial features associated with chronic allergic conditions (e.g., allergic rhinitis, atopic dermatitis):

  • Periorbital dark circles ("allergic shiners")
  • Puffy eyelids
  • Nasal crease (transverse line from frequent rubbing)
  • Mouth breathing (due to nasal obstruction)
  • Dennie-Morgan folds (extra skin folds below lower eyelids)

It is a descriptive term, not a diagnosis. Recognizing allergic facies prompts evaluation for atopy and appropriate management (antihistamines, intranasal steroids, allergen avoidance).

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