Nuff SAID

You are seeing a new patient for the first time in your family practice clinic. This is a young gentleman with a history of asthma with occasional albuterol use. His surgical history is notable for resection of nasal polyps and functional endoscopic sinus surgery for chronic rhinosinusitis. He is allergic to aspirin, getting wheezing, chest tightness, facial flushing, and conjunctival injection between 30 minutes and 3 hours after taking it. His family history is significant for diabetes, hypertension, and dementia. He drinks occasionally, quit smoking after his diagnosis of asthma, and denies drug use. He is a lawyer and lives with his wife.

Challenge: What triad stands out from his history and what does it signify?

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