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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
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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

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