Allergic shiners

In children, physical examination may reveal dark circles under the eyes (allergic shiners), a transverse nasal crease caused by repeated rubbing of the nose, adenoidal breathing, edematous nasal turbinates coated with clear secretions, tearing, conjunctival injection and edema, and periorbital swelling. Physical findings are generally less obvious in adults. 

Allergic shiners—Dark circles under the eyes as a result of nasal congestion leading to venous pooling. 

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