Allergic Fungal Rhinosinusitis: LRH Experience

Abstract

Objective:  To determine the characteristics of allergic fungal rhinosinusits experienced at a tertiary care hospital.

Material and Methods:  This study was conducted
at the Department of ENT, Head and Neck surgery, PGMI / LRH Peshawar Pakistan. All the patients ful-filling the inclusion criteria were properly evaluated in terms of detailed history, thorough examination and appropriate investigations. Biopsy was taken and on getting diagnosis necessary surgical intervention was carried out followed by medical therapy. Data was analyzed using SPSS version 17.

Results:  A total of twenty five patients enrolled were in age range from 10 – 70 years with mean age of 40.36 ± S.D 17.26 years. These patients constitute 15 male and 10 female with male: female ratio of 1.5:1. Most of the patients (44%) had lower socioeconomic status and mainly they were from rural area (68%) with only 48% were educated. The commonest symp-tom was nasal blockage (88%). In majority of cases (92%) disease was limited to nose and paranasal sinu-ses radiologically. Dematiaceous fungi were the com-monest isolates (76%).

Conclusion:  Allergic Fungal Rhinosinusitis (AFRS) was a common finding in middle age poor people liv-ing in humid climate. Nasal discharge was the commo-nest presentation of this disease. Aspergillus sp. was the commonest isolates of AFRS.

Key Words:  Rhinosinusitis, Fungal sinusitis, Allergic sinusitis, Allergic mucin.