a case of 45 year old wom...

A 45-year-old female presented with nasal congestion, mouth breathing, snoring, obstructive sleep apnea (OSA), and thick mucoid discharge. Her symptoms worsened upon waking up in the morning, and she frequently woke up in the middle of the night due to an itchy nose. She denied a history of allergies or other underlying medical conditions. Physical examination revealed erythema of the nasal mucosa and nasal congestion. Laboratory tests showed elevated IgE levels and positive skin prick test results to common allergens. Rhinostereometry and acoustic rhinometry confirmed nasal mucosal swelling.

The patient was diagnosed with allergic rhinitis. She was advised to implement allergen avoidance strategies and prescribed oxymetazoline nasal spray to alleviate nasal congestion. At one-week follow-up, the patient reported significant improvement in her nasal congestion and related symptoms within an hour of administering the nasal spray. She also reported significant reduction in mouth breathing, snoring, and nighttime awakenings due to nasal itching. Her overall quality of sleep and comfort improved.

At 10-day follow-up, no rebound mucosal swelling was observed. The patient continued to use the nasal spray as needed, adhering to the recommended duration of usage to mitigate the risk of adverse effect