Allergic Fungal Rhinosinusitis

  title={Allergic Fungal Rhinosinusitis},
  author={Ashok K. Gupta and Nishit Shah and Mohan Kameswaran and Davinder Rai and Tn Janakiram and Hemant Chopra and Ravi C. Nayar and Arvind Soni and N K Mohindroo and C Madhu Sudana Rao and Sandeep Bansal and Kr Meghnadh and Neelam Vaid and Hetal M Patel and Sanjay Sood and Sunita Kanojia and Kshitij Charaya and S. C. Pandhi and S. B. S. Mann},
  journal={Clinical Rhinology An International Journal},
Allergic fungal rhinosinusitis (AFRS) has always remained a topic of discussion at all rhinology meets. Despite so much of literature available, the nature of this disease, its diagnosis, pathogenesis, classification and appropriate management continue to generate debate and controversy even after three decades of research and investigation. AFRS is an endemic disease in North and South India. In spite of this, there has been no optimal management protocol for this disease being followed in… 
5 Citations
Omalizumab versus intranasal steroids in the post-operative management of patients with allergic fungal rhinosinusitis
This novel approach used a single low dose injection of omalizumab increased the compliance of the patients with minimal complications and the higher cost of o malizumAB compared to that of local steroids.
Sinobronchial allergic mycosis syndrome in an elderly male
The first case of sinobronchial allergic mycosis (SAM) syndrome is reported, defined as ABPA with concomitant AFRS, caused by Aspergillus fumigatus patient > 80 years, which can occur in elderly individuals as well.
Immune responses to airborne fungi and non-invasive airway diseases
The goal of the present review is to present the current knowledge on the interaction between airborne fungal particles and the host immune system, to illustrate the differences of immune sensing of differentfungal species and to emphasise the importance of conducting research on non-conventional mesophilic fungal species.
Evaluation of Allergic Fungal Sinusitis Occurrence in Patients with Nasal Polyps
Allergic fungal sinusitis (AFS) is common aetiology seen among nasal polyp patients and was seen to effect mainly young adults and middle aged poor people living in hot humid conditions.


Allergic Fungal Rhinosinusitis: Current Theories and Management Strategies
Current data and theories regarding the pathophysiology of allergic fungal rhinosinusitis, as well as the role of various surgical and nonsurgical forms of therapy are reviewed.
Eosinophilic Mucus Chronic Rhinosinusitis: Clinical Subgroups or a Homogeneous Pathogenic Entity?
Examination of clinical features of EMCRS patients from the different subcategories was examined to determine the relevance of this classification system.
Allergic Fungal Sinusitis: Learning from Our Failures
For more than five years, patients referred to the Department of Otolaryngology–Head and Neck Surgery at the University of Texas Southwestern Medical Center at Dallas with allergic fungal sinusitis
Allergic fungal sinusitis: Problems in diagnosis and treatment
Three patients with a history of asthma, nasal polyposis, and recurrent pansinusitis who fit the description of allergic Aspergillus sinusititis are treated.
Allergic aspergillosis: A newly recognized form of sinusitis in the pediatric population
The authors have treated six pediatric patients ages 8 to 16 who had findings typical of allergic Aspergillus sinusitis who presented with nasal polyposis and progressive facial deformity, raising the suspicion of malignancy.
Allergic fungal sinusitis (AFS) – earlier diagnosis and management
Aim: To evaluate the criteria for diagnosing allergic fungal sinusitis and to maintain permanent drainage and ventilation, while preserving the integrity of mucosa. Methods: This is a prospective
Allergic Fungal Sinusitis
The diagnosis is made on the histologic findings of inspissated allergic mucin containing 1) numerous eosinophils, 2) scattered noninvasive fungal hyphae, and 3) Charcot-Leyden crystals.
Allergic Fungal Sinusitis: A Review with Four Illustrated Cases
The clinical spectrum and treatment of allergic fungal sinusitis are detailed within four illustrated case reports and the histopathologic findings necessary for a definitive diagnosis are detailed.
Allergic fungal sinusitis: The Mayo clinic experience
The diagnosis of allergic fungal sinusitis (AFS) is difficult to establish and the role of total and specific immunoglobulin E (IgE) and immunoglOBulin G (GG) levels in the disease process is defined and the clinical features of this disease are reviewed.
Sinonasal aspergillosis in immunocompetent Indian children: an eight‐year experience
A retrospective study of 40 otherwise healthy children suffering from paranasal aspergillosis is presented, which revealed allergic or non‐invasive fungal infections without any tissue invasions.