PMID: 8956755Dec 1, 1996Paper

Allergic fungal sinusitis in the pediatric population

Archives of Otolaryngology--head & Neck Surgery
S B Kupferberg, J P Bent

Abstract

To determine the optimal treatment in pediatric patients with allergic fungal sinusitis (AFS). A retrospective review of 10 patients diagnosed as having AFS. Academic tertiary medical center. Pediatric patients who fulfilled 5 criteria necessary for diagnosis of AFS: (1) type 1 hypersensitivity; (2) nasal polyposis; (3) characteristic computed tomographic scan; (4) histological evidence of eosinophilic mucus without evidence of fungal invasion into sinus tissue; and (5) a positive fungal stain or culture of sinus contents. All patients were treated with functional endoscopic sinus surgery with removal of fungal debris. Adjuvant therapy included nasal irrigations, postoperative endoscopic cleanings, and systemic corticosteroids in 9 of 10 patients. Clinical disease monitored endoscopically by means of an objective staging system. Five patients were without disease (stage 0), 1 had allergic mucin and mucosal edema (stage I), 1 had allergic mucin and polypoid edema (stage II), and 3 had polyps and/or fungal debris (stage III). The treatment and prognosis of pediatric AFS are similar to those of adult AFS. However, systemic corticosteroids should be weaned aggressively in children to minimize complications, particularly long-term g...Continue Reading

Citations

Mar 1, 2007·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Rishi Pal GuptaChitra Sarkaar
Nov 1, 1996·The Laryngoscope·J P Bent, F A Kuhn
Sep 6, 2007·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Mubasher IkramSyed Ather Enam
Mar 15, 2002·Current Allergy and Asthma Reports·M S Schubert
Aug 7, 2009·Current Allergy and Asthma Reports·Kimberly C SalazarKelly D Stone
Aug 15, 2013·The Journal of Laryngology and Otology·N UriM Gruber
Jan 19, 2016·Expert Review of Clinical Immunology·Jonathan RodriguesAlan P Knutsen
Aug 1, 2002·The Laryngoscope·John E McClayNathan Schwade
Apr 24, 2007·Pediatric Clinics of North America·James M Seltzer, Marion J Fedoruk
Nov 7, 2006·The Journal of Allergy and Clinical Immunology·Eli O MeltzerUNKNOWN Rhinosinusitis Initiative
Apr 30, 2004·Human Pathology·Laura GranvilleLuan D Truong
Oct 13, 1998·The Journal of Allergy and Clinical Immunology·M S Schubert, D W Goetz
Apr 6, 2004·Otolaryngologic Clinics of North America·Mark S Schubert
Sep 14, 2015·International Journal of Pediatric Otorhinolaryngology·Sourabha K PatroArunaloke Chakrabarti
Sep 27, 2014·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Anju T PetersRaymond G Slavin
May 13, 2004·Journal of Neurosurgery·James K LiuWilliam T Couldwell
Mar 31, 2009·Medical Mycology·Mark S Schubert
Nov 4, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Eli O MeltzerUNKNOWN Rhinosinusitis Initiative
Apr 19, 2019·Journal of Maxillofacial and Oral Surgery·Virendra Singh
Jan 30, 2018·Journal of Fungi·Arunaloke Chakrabarti, Harsimran Kaur
Oct 2, 2020·International Journal of Surgery Case Reports·Haifa Lafi AlenziFadel Molani

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atopic Dermatitis

Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.

Related Papers

The Journal of Allergy and Clinical Immunology
R D deShazo, R E Swain
Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
M S Schubert
The Journal of Allergy and Clinical Immunology
M S Schubert, D W Goetz
The Journal of Allergy and Clinical Immunology
A L KatzensteinP A Greenberger
The Journal of Allergy and Clinical Immunology
M S Schubert, D W Goetz
© 2021 Meta ULC. All rights reserved