All issues > Volume 19(11); 1976

Original Article

J Korean Pediatr Soc. 1976;19(11):850-858. Published online November 30, 1976.

Clinical Significance of Allergic Shiner in Children.

Kwang Chan Do¹

¹Dept, of Pediatrics College of Medicine,Seoul National University.

Abstract

Allergic shiner, blue to dark circle under the eyes or discolortion greater than normal in orbitopalpebral groove(Fig. 1), was known to develop due to venous congestion resulting from edema of nasal mucous memberane in allergic rhinitis or allergic tension fatigue syndrome. However, concerning the frequency of its occurrence in children and its positive correlation with allergic rhinitis, allergic tension fatigue syndrome as well as other allergic manifestations are still not well documented. Total 11, 624 children of 5 to 15 years of age were surveyed for presence of allergic shiner in order to determine its age and sex incidence One hundred children each from groups of children with or without shiner were subjected for comparison of frequencies of associated symptoms and signs which said to appear in patients with allergic rhinitis and allergic tension fatigue syndrome, other types of allergic manifestations and common clinical problems encountered, chief complaints at O.P.D in children with shiner, disorders related and unrelated to allergy, anemia and eosinophilia. The following results are obtained. 1.Frequency of shiner is 7.44 per cent in average and its male to female ratio is 1 : 1.2, that is statistically significant. There is no significant age difference in frequency in male, but increasing tendency with age in female. (Table 1. & Fig. 2) 2.More allergic disorders and common clinical problems such as food faddism and recurrent URI are observed in the group of children with shiner compared with control (Table 2 & 3) However, there is no difference in kinds of food liked or disliked between two groups of children (Table 7). 3.In fifty-six O.P.D. patients among one hundred children with shiner, more than half (31 patients) had chief complaint of cough, headache or abdominal pain. Twenty two patients had allergic disorders, which were significantly prevalent compared with control groupCTable 5)4.Excluding children with positive stool examination for ova & parasite, there is no difference in hemoglobin value, whereas eosinophilia in peripheral blood is more frequent in children with shiner (Table 6).

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