10-year-old boy regularly experiences moderately severe sneezing

A 10-year-old boy regularly experiences moderately severe sneezing spells and watery eyes in May and June, September and October, and occasionally during January through March. Immediate skin test show a positive reaction to Alternaria, Cladosporium, house dust and grass and ragweed pollens. 

The most appropriate treatment would include?

a)  immunotherapy against the known offending antigen

b) oral adrenergic agonist

c) Antigen avoidance

d) Topical adrenergic agonist

e) Antihistamine-decongestant preparation


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