Journal of Capital Medical University ›› 2012, Vol. 33 ›› Issue (6): 735-739.doi: 10.3969/j.issn.1006-7795.2012.06.006

• 耳鼻咽喉科学学科进展 • Previous Articles     Next Articles

Combined diagnosis of allergic fungal rhinosinusitis

WANG Xiangdong, WANG Chengshuo, SONG Xiaohong, BO Mingyu, LI Ying, WANG Hong, ZHANG Luo   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Otorhinolaryngology, Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing 100730, China
  • Received:2012-09-20 Revised:1900-01-01 Online:2012-12-21 Published:2012-12-21

Abstract: Objective To evaluate the clinical application of different diagnostic methods in the diagnosis of allergic fungal rhinosinusitis. Methods Eighteen cases of allergic fungal rhinosinusitis were enrolled in the present study, clinical characteristics, CT and MRI images, skin prick tests(SPTs), serum specific IgE, smear and culture of mucin and pathological diagnosis were used as diagnostic methods. Results The ratio of male to female was 11/7, and the age range was 17~66 years. The CT and MRI of sinuses showed typical characteristics. The main fungus was aspergillus diagnosed by SPTs, serum specific IgE, smear and culture of mucin in sinuses. Eosinophils and Charcot-Leyden crystals could be found in mucin. Conclusion The diagnosis of allergic fungal rhinosinusitis depends on combination of clinical characteristics, CT and MRI images, SPTs, serum specific IgE, smear and culture of mucin and pathological diagnosis.

Key words: fungus, allergy, diagnosis, skin prick tests

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