ABSTRACT
History Daniel is a 7-year-old boy who has been brought to his general practitioner (GP) because his parents are worried about his breathing.
Since he was 5 years old, his parents have noticed that he seems to have a runny nose all the time, especially in spring. He is constantly rubbing his nose, and over the past year also seems to be sneezing more often. He gets red itchy eyes too, particularly in spring time. He continues to enjoy sports, especially karate, as much as ever. However, he stopped his Saturday morning football lessons last winter, as he found his breathing was getting quite tight, especially in the cold weather; he was feeling wheezy and it was increasingly hard to keep up with his friends. His parents state that he coughs at night.
