Top

European Archives of Oto-Rhino-Laryngology

Published in:

01-11-2013 | Rhinology

The prevalence of allergic fungal rhinosinusitis in sinonasal polyposis

Authors: Mehdi Bakhshaee, Mohammad Fereidouni, Morteza Nourollahian Mohajer, Mohammad Reza Majidi, Farahzad Jabbari Azad, Toktam Moghiman

Published in: European Archives of Oto-Rhino-Laryngology | Issue 12/2013

Abstract

Allergic fungal sinusitis (AFS) is a noninvasive form of fungal rhinosinusitis with a prevalence of 6–9 % among all rhinosinusitis cases requiring surgery. The fungi causing AFRS have a great diversity and regional variation in the incidence of AFS has been reported worldwide. The aim of this study was to evaluate the prevalence of AFS among rhinosinusitis patients in the north east of Iran. In a prospective cross-sectional study 127 patients with sinonasal polyposis who were candidates for surgery were recruited. All cases were evaluated by sinonasal CT scan, Prick test for common regional allergens, total serum immunoglobulin E (IgE) level, and allergic mucin culture for fungi in suspected cases. Data analyses were done using SPSS version 13.0. Their mean age was 37.4 ± 11.6 years, the male-to-female ratio was 69/58. Eleven patients (9.45 %) met the AFS criteria. Nine cases had a positive culture for Aspergillus specimen and three for Alternaria. Prick test was positive for at least one allergen in 28 cases (22.05 %). The most common allergen was weed. The total IgE level was significantly higher in AFS patients. This study showed the prevalence of AFS among patients with nasal polyposis to be 9.45 %.

Safirstein B (1976) Allergic bronchopulmonary aspergillosis with obstruction of the upper respiratory tract. Chest 70:788–790PubMedCrossRef

Glass D, Amedee RG (2011) Allergic fungal rhinosinusitis: a review. Ochsner J 11(3):271–275PubMed

Bent JP 3rd, Kuhn FA (1994) Diagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg 111(5):580–588PubMedCrossRef

Katzenstein AL, Sale SR, Greenberger PA (1983) Allergic Aspergillus sinusitis: a newly recognized form of sinusitis. J Allergy Clin Immunol 72(1):89–93PubMedCrossRef

Fokkens WJ, van Drunen C, Georgalas C, Ebbens F (2012) Role of fungi in pathogenesis of chronic rhinosinusitis: the hypothesis rejected. Curr Opin Otolaryngol Head Neck Surg 20(1):19–23PubMedCrossRef

Asero R, Bottazi G (2000) Hypersensitivity to molds in patients with nasal polyposis: a clinical study. J Allergy Clin Immunol 105:186–188PubMedCrossRef

Solomon WR (1999) Pollens and fungi. In: Allergy ME (ed) Principles and practice, vol 3. Mosby, Philadelphia, pp 469–514

Ponikau H, Sherris D, Kern E, Homburger H, Frigas E, Gaffey T, Roberts G (1999) The diagnosis and incidence of allergic fungal sinusitis. Mayo Clin Proc 74:877–884PubMedCrossRef

Stammberger H (1999) Examination and endoscopy of the nose and paranasal sinuses In: Mygind N, Lildholt T (eds) Nasal polyposis. An inflammatory disease and its treatment. Munksgaard, Copenhagen, pp 120–36

10.

Manning SC, Holman M (1998) Further evidence for allergic pathophysiology in allergic fungal sinusitis. Laryngoscope 108(10):1485–1496PubMedCrossRef

11.

Chakrabarti A, Sharma SC, Chandler J (1992) Epidemiology and pathogenesis of paranasal sinus mycoses. Otolaryngol Head Neck Surg 107(6 Pt 1):745–750PubMed

12.

Saravanan K, Panda NK, Chakrabarti A, Das A, Bapuraj RJ (2006) Allergic fungal rhinosinusitis: an attempt to resolve the diagnostic dilemma. Arch Otolaryngol Head Neck Surg 132(2):173–178PubMedCrossRef

13.

Chhabra A, Handa KK, Chakrabarti A, Mann SB, Panda N (1996) Allergic fungal sinusitis: clinicopathological characteristics. Mycoses 39(11–12):437–441PubMedCrossRef

14.

Panda NK, Sharma SC, Chakrabarti A, Mann SB (1998) Paranasal sinus mycoses in north India. Mycoses 41(7–8):281–286PubMedCrossRef

15.

Dhiwakar M, Thakar A, Bahadur S et al (2003) Preoperative diagnosis of allergic fungal sinusitis. Laryngoscope 113(4):688–694PubMedCrossRef

16.

Taj-Aldeen SJ, Hilal AA, Schell WA (2004) Allergic fungal rhinosinusitis: a report of 8 cases. Am J Otolaryngol 25(3):213–218PubMedCrossRef

17.

Telmesani LM (2009) Prevalence of allergic fungal sinusitis among patients with nasal polyps. Ann Saudi Med 29(3):212–214PubMed

18.

Fereidouni M, Hossini RF, Azad FJ, Assarehzadegan MA, Varasteh A (2009) Skin prick test reactivity to common aeroallergens among allergic rhinitis patients in Iran. Allergol Immunopathol (Madr) 37(2):73–79CrossRef

19.

Goh BS, Gendeh BS, Rose IM, Pit S, Samad SA (2005) Prevalence of allergic fungal sinusitis in refractory chronic rhinosinusitis in adult Malaysians. Otolaryngol Head Neck Surg 133(1):27–31PubMedCrossRef

20.

Braun H, Buzina W, Freudenschuss K, Beham A, Stammberger H (2003) ‘Eosinophilic fungal rhinosinusitis’: a common disorder in Europe? Laryngoscope 113(2):264–269PubMedCrossRef

21.

Schubert MS (2004) Allergic fungal sinusitis: pathogenesis and management strategies. Drugs 64(4):363–374PubMedCrossRef

22.

Ryan MW, Marple BF (2007) Allergic fungal rhinosinusitis: diagnosis and management. Curr Opin Otolaryngol Head Neck Surg 15(1):18–22PubMedCrossRef

23.

Wynn R, Har-El G (2004) Recurrence rates after endoscopic sinus surgery for massive sinus polyposis. Laryngoscope 114(5):811–813PubMedCrossRef

24.

Lildholdt T, Rundcrantz H, Bende M, Larsen K (1997) Glucocorticoid treatment for nasal polyps. The use of topical budesonide powder, intramuscular betamethasone, and surgical treatment. Arch Otolaryngol Head Neck Surg 123(6):595–600PubMedCrossRef

25.

Ferguson BJ (2000) Eosinophilic mucin rhinosinusitis: a distinct clinicopathological entity. Laryngoscope 110(5 Pt 1):799–813PubMedCrossRef

26.

Ferguson BJ, Barnes L, Bernstein JM et al (2000) Geographic variation in allergic fungal rhinosinusitis. Otolaryngol Clin North Am 33(2):441–449PubMedCrossRef

Title: The prevalence of allergic fungal rhinosinusitis in sinonasal polyposis
Authors: Mehdi Bakhshaee
Mohammad Fereidouni
Morteza Nourollahian Mohajer
Mohammad Reza Majidi
Farahzad Jabbari Azad
Toktam Moghiman
Publication date: 01-11-2013
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 12/2013
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-013-2449-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The prevalence of allergic fungal rhinosinusitis in sinonasal polyposis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 12/2013

Tracheostomal stenosis clinical risk factors in patients who have undergone total laryngectomy and adjuvant radiotherapy

Vocal cord paralysis caused by stingray

Preemptive peritonsillar infiltration with lidocaine for relief of bipolar adult post-tonsillectomy pain: a randomized, double-blinded clinical study

Prevalence and risk factors for sensorineural hearing loss: Western Sicily overview

IgE reactivity profiles among house dust mite allergic patients in Bavaria

Early one-stage surgical treatment of infected preauricular sinus