|
KMID : 0361020000430040438
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 4 p.438 ~ p.441
|
|
|
A Case of Allergic Fungal Sinusitis
|
|
Rha Ki-Sang
Kim Jin-Man
Sin Gwang-Cheol
Lee O-Young
|
|
|
Abstract
|
|
|
Since the initial description of allergic fungal sinusitis by Millar et al. in 1981, reported cases have been
increasing. However, one case of allergic fungal sinusitis has been reported in Korea. The diagnosis can
be established by demonstrating type Ⅰ hypersensitivity reaction, nasal polyposis, characteristic CT scan,
eosinophilic mucus without evidence of fungal invasion into sinus tissue, and a positive fungal stain or
culture of sinus contents. The authors present a case which met the diagnostic criteria of allergic fungal
sinusitis. This patient had nasal polyp and showed elevated level of total IgE, peripheral eosinophilia,
positive MAST and strongly positive immediate skin reactivity to fungal antigens. On histologic
examination, typical allergic mucin containing sheets of eosinophils, Charcot-Leyden crystals was found.
Fungal hyphae were also found in the mucin content.
|
|
|
KEYWORD
|
|
|
Allergic fungal sinusitis, Sinusitis, Endoscopic sinus surgery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|