Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T12:27:50.287Z Has data issue: false hasContentIssue false
  • English
  • Français

Allergic aspergillus sinusitis with proptosis

Published online by Cambridge University Press:  29 June 2007

K. J. Daghistani ,
T. S. Jamal ,
S. Zaher  and
O. I. Nassif
K. J. Daghistani*
Affiliation:
Departments of Otorhinolaryngology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
T. S. Jamal
Affiliation:
Departments of Otorhinolaryngology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
S. Zaher
Affiliation:
Departments of Otorhinolaryngology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
O. I. Nassif
Affiliation:
Departments of Histopathology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
*
P.O.Box 11217, Jeddah 21453, Saudi Arabia. (Fax) 02-6917747
Get access Rights & Permissions [Opens in a new window]

Abstract

Allergic aspergillus sinusitis has recently been increasingly recognized. Five cases are discussed. All presented with proptosis, signs and symptoms of allergic rhinitis and radiological evidence of expansile masses with calcification and bony erosions involving multiple sinuses. Greenish cheesy material was seen at surgery. Histologically the lesions contained eosinophils, Charcot-Lyden crystals and fungal septate hyphae. Aspergillus fumigatus was grown from all cases. Surgical removal with drainage and aeration were performed. The follow-up period ranged between three to 18 months. Recurrence occurred in one patient.

Allergic aspergillus sinusitis can mimic malignant disease and should be considered in the differential diagnosis of lesions involving multiple sinuses. It should also be considered in all cases of proptosis.

Keywords

SinusitisAspergillosisallergicProptosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 9 , September 1992 , pp. 799 - 803
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Axelsson, H., Carlsoo, B., Weibring, J., Winblad, B. (1978) Aspergillosis of the maxillary sinus: Clinical and histopathological features of four cases and a review of the literature. Ada Otolaryngologica, 86: 303–308.CrossRefGoogle Scholar
Bartynski, J., McCaffrey, T., Frigas, E. (1990) Allergic fungal sinusitis secondary to dermatiaceous fungi-curvularia lunata and alternaria. Otolaryngology Head and Neck Surgery, 103: 32–39.Google Scholar
Grigoriu, D., Bambule, J., Celacretaz, J. (1979) Aspergillus sinusitis. Postgraduate Medical Journal, 55: 619–621.CrossRefGoogle ScholarPubMed
Jackson, I., Schmitt, III. E., Carpenter, H. (1987) Allergic aspergillus sinusitis. Plastic and Reconstructive Surgery, 79: 804–808.Google Scholar
Jonathan, D., Lund, V., Milroy, C. (1989) Allergic aspergillus sinusitis-an overlooked diagnosis? Journal of Laryngology and Otology, 103: 1181–1183.CrossRefGoogle ScholarPubMed
Katzenstein, A. A., Sale, S. R., Greenberger, P. A. (1983) Allergic sinusitis: a newly recognized form of sinusitis. Journal of Allergy and Clinical Immunology, 72: 89–93.Google Scholar
McGuirt, W., Harrill, J. (1979) Paranasal sinus aspergillosis. Laryngoscope, 89: 1563–1568.CrossRefGoogle ScholarPubMed
Manning, S., Vuitch, R.Weinberg, A., Brown, O. (1989) Allergic aspergillosis: A newly recognized form of sinusitis in pediatric population. Laryngoscope, 99: 681–685.CrossRefGoogle ScholarPubMed
Meikle, D., Yarington, C.Winterbauer, R. (1985) Aspergillosis of the maxillary sinuses in otherwise healthy patients. Laryngoscope, 95: 776–779.Google ScholarPubMed
Milroy, C.Blanshard, J., Lucas, S., Michaels, L. (1989) Aspergillosis of the nose and paranasal sinuses. Journal of Clinical Pathology, 42: 123–127.CrossRefGoogle ScholarPubMed
Philip, G., Keen, C. E. (1989) Allergic fungal sinusitis. Histology, 14: 222–224.Google ScholarPubMed
Stammberger, H. (1985) Endoscopic surgery for mycotic and chronic recurring sinusitis. Annals of Otology, Rhinology and Laryngology, 94: Supplement 119, 1–11.Google Scholar
Stammberger, H., Jakes, R., Beaufort, F. (1984) Aspergillosis of the paranasal sinuses: X-ray diagnosis, histopathology and clinical aspects. Annals of Otology, Rhinology and Laryngology, 93: 251–256.Google Scholar
Waxman, J. E., Spector, J. G., Sale, S. R., Katzenstein, A. A. (1987) Aspergillus sinusitis: concepts in diagnosis and treatment of a new clinical entity. Laryngoscope, 97: 261–266.Google Scholar