Article Type
Article
Abstract
Introduction: Allergic fungal sinusitis (AFS) is a common disease in Saudi Arabia. It is considered the most common type of fungal sinusitis in this area. It is highly destructive to the bone of the nose and Para nasal sinuses.
Material and methods: This is a retrospective hospital based study during the period from May 1989 to December 2009. It involved 700 cases of immune competent chronic rhinosinusitis (CRS) who underwent surgery. Specimens were sent for histopathology and mycology and culture for identification of fungi and elastic fungal mucin.
Diagnosis was made by endoscopic findings in outpatient clinics and operating theaters, CT scan + - MRI, histopathology and cultures.
Results: The study included 700 patients presented with symptoms and signs of CRS. Age was between 9 to 50 years old. Ninety one patients from 700 were diagnosed as cases of AFS (13%). Culture was positive in 43%, histopathology results were positive in 57% for fungal hyphae and allergic musin. The most common causative organism was aspergillus spaces (flavus). More than of 50% of cases were associated with asthma.
Conclusion: AFS does exist in Saudi Arabia.It mostly affects young adults, females more than males.The usual presentation is by nasal obstruction, disturbed smell, nasal polyposis. The disease is mainly caused by aspergillus species.
Keywords: Allergic Fungal Sinusitis in Saudi Arabia.
Recommended Citation
Ashour TA, Ashour R.
Prevalence of allergic fungal sinusitis in refractory chronic rhinosinusitis in Saudi Arabia.
Pan Arab J. Rhinol.
2014;
4 : -.
Available at:
https://pajr.researchcommons.org/journal/vol4/iss1/5
