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Allergic aspergillus sinusitis—an overlooked diagnosis?

Published online by Cambridge University Press:  29 June 2007

D. Jonathan ,
V. Lund  and
C. Milroy
D. Jonathan
Affiliation:
Royal National Throat, Nose and Ear Hospital, London
V. Lund*
Affiliation:
Royal National Throat, Nose and Ear Hospital, London
C. Milroy
Affiliation:
Department of Histopathology, University College and Middlesex School of Medicine, London
*
Valerie J. Lund M S., F R C S., Senior Lecturer in Rhinology, Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA
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Abstract

Aspergillus infection of the nose and sinuses has been recognized for nearly 100 years but a variant, allergic aspergillus sinusitis, has recently been recognized. This non-invasive form causes chronic sinusitis characterized by thick green inspissated mucus in which eosinophils and Charcot-Leyden crystals are found. Fungal hyphae are scanty and are indentified with special stains. Consequently the diagnosis may frequently be overlooked. It has many similarities with allergic broncho-pulmonary aspergillosis and is treated by surgical debridement and aeration with or without cortico steroids, either topical or systemic.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 12 , December 1989 , pp. 1181 - 1183
Copyright
Copyright © JLO (1984) Limited 1989

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