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

Published online by Cambridge University Press:  08 March 2006

E. Serrano ,
J. Percodani ,
E. Uro-Coste ,
E. Yardeni ,
M. Abbal ,
M. D. Linas ,
P. Recco  and
M. B. Delisle
E. Serrano
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Rangueil University Hospital, Toulouse, France.
J. Percodani
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Rangueil University Hospital, Toulouse, France.
E. Uro-Coste
Affiliation:
Department of Pathology, Rangueil University Hospital, Toulouse, France.
E. Yardeni
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Rangueil University Hospital, Toulouse, France.
M. Abbal
Affiliation:
Department of Immunology, Rangueil University Hospital, Toulouse, France.
M. D. Linas
Affiliation:
Department of Mycology, Rangueil University Hospital, Toulouse, France.
P. Recco
Affiliation:
Department of Mycology, Rangueil University Hospital, Toulouse, France.
M. B. Delisle
Affiliation:
Department of Pathology, Rangueil University Hospital, Toulouse, France.
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Abstract

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

Keywords

Paranasal SinusesFungiAspergillus
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 3 , March 2001 , pp. 184 - 189
Copyright
Royal Society of Medicine Press Limited 2001

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