Until recently, there has been no consensus on the classificationof or the diagnostic criteria for fungal sinusitis. Many casereports and series have lacked the histopathological data necessaryto distinguish invasive from noninvasive disease, used similarterms to describe different syndromes, or included patientswith noninvasive disease in studies of invasive fungal sinusitis.Thus, the literature has provided only limited guidance withrespect to the care of patients with these conditions. A numberof recent investigations have addressed these problems and ledto both a histopathologically based classification and criteriafor diagnosis.1,2,3,4,5 Since the newer surgical techniquesand therapeutic . . . [Full Text of this Article]
Diagnosis
Distinguishing between Invasive and Noninvasive Sinusitis
Noninvasive Fungal Sinusitis
Allergic Fungal Sinusitis
Sinus Mycetoma
Invasive Fungal Sinusitis
Acute (Fulminant) Invasive Fungal Sinusitis
Granulomatous Invasive Fungal Sinusitis
Chronic Invasive Fungal Sinusitis
Conclusions
Source Information
From the Division of Allergy and Immunology, Departments of Medicine and Pediatrics (R.D.D.), Pathology (K.C.), and Surgery (R.E.S.), University of South Alabama, Mobile.
Address reprint requests to Dr. deShazo at the University of South Alabama College of Medicine, Department of Medicine, 2451 Fillingim St., Mastin 400A, Mobile, AL 36617.
References
Related Letters:
Fungal Sinusitis
Watts J. C., Chandler F. W., Nichols L., deShazo R. D., Chapin K., Swain R. E.
Extract |
Full Text
N Engl J Med 1997;
337:1633-1634, Nov 27, 1997.
Correspondence
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