Value of investigation in the diagnosis of allergic fungal rhinosinusitis: results of a prospective study

The authors report a prospective study in which the aim was to analyse the usefulness of different criteria in optimizing the diagnosis of allergic fungal rhinosinusitis. From 1995 to 1998, 165 patients were operated on for chronic rhinosinusitis. Investigations used in this study for the diagnosis...

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Bibliographic Details
Published in:Journal of laryngology and otology 2001-03, Vol.115 (3), p.184-189
Main Authors: Serrano, E., Percodani, J., Uro-Coste, E., Yardeni, E., Abbal, M., Linas, M. D., Recco, P., Delisle, M. B.
Format: Article
Language:English
Subjects:
(RF) Otorhinolaryngology
Adolescent
Adult
Aged
Aged, 80 and over
Allergic diseases
Aspergillosis - complications
Aspergillosis - diagnosis
Aspergillus
Aspergillus flavus - immunology
Aspergillus flavus - isolation & purification
Aspergillus fumigatus
Aspergillus fumigatus - immunology
Aspergillus fumigatus - isolation & purification
Biological and medical sciences
Chi-Square Distribution
Child
Female
Fungi
Humans
Hypersensitivity - diagnosis
Hypersensitivity - microbiology
Immunoglobulin E - immunology
Immunopathology
Logistic Models
Male
Medical sciences
Middle Aged
Multivariate Analysis
Paranasal Sinuses
Predictive Value of Tests
Prospective Studies
Respiratory and ent allergic diseases
Rhinitis - diagnosis
Rhinitis - microbiology
Sinusitis - diagnosis
Sinusitis - microbiology
Staining and Labeling
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Summary:The authors report a prospective study in which the aim was to analyse the usefulness of different criteria in optimizing the diagnosis of allergic fungal rhinosinusitis. From 1995 to 1998, 165 patients were operated on for chronic rhinosinusitis. Investigations used in this study for the diagnosis of allergic Aspergillus rhinosinusitis consisted of an analysis of clinical, radiological, immuno-allergic criteria. Fourteen patients presented with allergic Aspergillus rhinosinusitis. One hundred and fifty-one patients did not present any of the necessary criteria for the diagnosis of allergic Aspergillus rhinosinusitis. The results show that the characteristic macroscopic appearance, the maxillary sinus localization, and the presence of positive specific IgE to Aspergillus fumigatus are arguments that reinforce the diagnostic certitude of allergic fungal sinusitis. No specific clinical or radiological criteria orients a diagnosis of chronic rhinosinusitis toward that of allergic fungal rhinosinusitis. The other immuno-allergic tests do not contribute to the diagnosis of allergic fungal rhinosinusitis. pathological, mycological, and
ISSN:0022-2151
1748-5460
DOI:10.1258/0022215011907154