Otolaryngology Book

http://www.fpnotebook.com/

Allergic Fungal Sinusitis

Advertisement

  1. Epidemiology
    1. Affects immunocompetent children and young adults
    2. Higher Prevalence in warm, humid environments
    3. Accounts for 7% of Chronic Sinusitis requiring surgery
  2. Associated Conditions
    1. Asthma (33%)
    2. Aspirin sensitivity is not related
    3. Atopy
  3. Signs
    1. Nasal Polyps
    2. Chronic pansinusitis refractory to standard therapy
  4. Labs: Sinus mucus examination
    1. Charcot Leyden crystals
    2. Non-invasive hyphae
    3. Numerous Eosinophils
  5. Radiology: Sinus XRay Findings
    1. Complete opacification of multiple sinuses
    2. Extension beyond sinus
    3. Wall Erosion of involved sinus
    4. Scattered areas of high attenuation
    5. Mucosal thickening
  6. Differential Diagnosis
    1. Sinonasal neoplasm
    2. Fungal Sinusitis
    3. Bacterial Acute Sinusitis
  7. Labs
    1. Total IgE elevated (often exceeds 1000)
  8. Management
    1. Surgical debridement
    2. Immunotherapy with fungal and non-fungal antigens
    3. Corticosteroids
    4. Irrigation and self-cleansing by patient
  9. References
    1. Kuhn (2000) Otolaryngol Clin North Am 33(2):419
    2. Mabry (2000) Otolaryngol Clin North Am 33(2):433
    3. Mabry (2000) Otolaryngol Clin North Am 33(2):409
    4. Mabry (1997) Otolaryngol Head Neck Surg 116:31
    5. Marple (1998) Am J Rhinol 12(4):263

Allergic fungal sinusitis (C1827192)

ConceptsDisease or Syndrome (T047)
EnglishAllergic fungal sinusitis
Spanishsinusitis alérgica por hongos, sinusitis alergica por hongos
CreditsDerived from the NIH UMLS (Unified Medical Language System)



Navigation Tree