真菌性鼻窦炎（PPT X页）.pptVIP

Allergic Fungal Sinusitis Allergy to Fungi Most patient with AFS will have allergy to fungus causing disease Manning et al Prospective study Compared 8 patients with AFS and (+)culture with Bipolaris 10 controls with chronic rhinosinusitis All 8 patients showed (+) skin testing, RAST, and ELISA to Bipolaris 8 of 10 controls (-) for all tests IgE levels 1000 IU/mL Allergic Fungal Sinusitis Treatment Surgical Remove all mucin Provide permanent drainage and ventilation of affected sinuses Systemic +/- topical steroids Systemic steroids decrease rate of recurrence Course can range from 2-12 mon