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Allergic Fungal Sinusitis: Case Report and Review of the Mayo Clinic Experience

Allergic Fungal Sinusitis: Case Report and Review of the Mayo Clinic Experience This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract At the recent 1989 Spring Meeting of the American Academy of Otolaryngic Allergy in San Francisco, Calif, Dr Jeffrey Bartynski, Mayo Clinic, Rochester, Minn, presented two cases of allergic fungal sinusitis. These patients had several findings in common, including significant allergic history, chronic rhinosinusitis failing medical therapy, and a slowly enlarging nasal mass causing proptosis. A computed tomographic scan showing "concretions" is characteristic of fungal sinusitis, but histopathologic identification of hyphae without deep invasion, eosinophils, and Charcot-Leyden crystals (allergic mucin) are necessary for the diagnosis. Treatment consisted of surgical débridement, postoperative steroid therapy, and allergic symptom control. Systematic antifungal regimens are not indicated. This disease must be differentiated from malignant processes as well as other fungal disorders, including mycetomas and invasive fungal sinusitis. Total IgE levels tend to parallel the course of the disease. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Allergic Fungal Sinusitis: Case Report and Review of the Mayo Clinic Experience

Allergic Fungal Sinusitis: Case Report and Review of the Mayo Clinic Experience

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract At the recent 1989 Spring Meeting of the American Academy of Otolaryngic Allergy in San Francisco, Calif, Dr Jeffrey Bartynski, Mayo Clinic, Rochester, Minn, presented two cases of allergic fungal sinusitis. These patients had several findings in common, including significant allergic history, chronic rhinosinusitis failing medical therapy, and a...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1989.01860340013001
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract At the recent 1989 Spring Meeting of the American Academy of Otolaryngic Allergy in San Francisco, Calif, Dr Jeffrey Bartynski, Mayo Clinic, Rochester, Minn, presented two cases of allergic fungal sinusitis. These patients had several findings in common, including significant allergic history, chronic rhinosinusitis failing medical therapy, and a slowly enlarging nasal mass causing proptosis. A computed tomographic scan showing "concretions" is characteristic of fungal sinusitis, but histopathologic identification of hyphae without deep invasion, eosinophils, and Charcot-Leyden crystals (allergic mucin) are necessary for the diagnosis. Treatment consisted of surgical débridement, postoperative steroid therapy, and allergic symptom control. Systematic antifungal regimens are not indicated. This disease must be differentiated from malignant processes as well as other fungal disorders, including mycetomas and invasive fungal sinusitis. Total IgE levels tend to parallel the course of the disease.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Oct 1, 1989

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