Case Study: Transverse Nasal Creases

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Transverse nasal creases

This case is of a 6-year-old who presented to the dermatology clinic with horizontal lines across her nose. They had developed during the last two weeks. The girl had a history of eczema. She also complained of perennial sneezing, nasal congestion, itching, and rhinorrhea. Furthermore, her symptoms worsened during the spring and fall seasons. Based on investigation findings, doctors diagnosed the patient with transverse nasal creases.

Doctors did a physical examination and noted two transverse lines crossing the bridge of her nose. In addition, the patient was also seen rubbing her nose in an upward manner. This impulsive behaviour is commonly known as an allergic salute. All these findings were significant for the diagnosis of allergic rhinitis.

Transversal Nasal Creases: Common Sign of Allergic Rhinitis

When children frequently push their nose upwards it forms transverse creases on the nose. It is a common sign of allergic rhinitis, especially in children and patients who suffer from atopic conditions. 

Treatment and Follow Up

The doctors prescribed the girl nasal glucocorticoids and oral antihistamines for two weeks. Her symptoms relieved after the treatment. Moreover, she did a follow up after three months and her skin changes had resolved.

Conclusion

It is important that clinicians are aware of transverse nasal creases since they are commonly found in dermatological practices. However, they are not a very commonly reported entity, more likely to present as an embryological fault line. It is an isolated finding of the transverse nasal line. Furthermore, a transverse nasal crease should be differentiated from an allergic nasal crease, which is in the lines of a similar appearance. It is seen in atopic patients due to persistent and continuous upward manipulation of the nasal tip.

Source: NEJM

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Dr. Aiman Shahab is a dentist with a bachelor’s degree from Dow University of Health Sciences. She is an experienced freelance writer with a demonstrated history of working in the health industry. Skilled in general dentistry, she is currently working as an associate dentist at a private dental clinic in Karachi, freelance content writer and as a part time science instructor with Little Medical School. She has also been an ambassador for PDC in the past from the year 2016 – 2018, and her responsibilities included acting as a representative and volunteer for PDC with an intention to make the dental community of Pakistan more connected and to work for benefiting the underprivileged. When she’s not working, you’ll either find her reading or aimlessly walking around for the sake of exploring. Her future plans include getting a master’s degree in maxillofacial and oral surgery, settled in a metropolitan city of North America.

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