Condition Lookup
Sub-Category:
Allergic and Inflammatory Disorders
Number of Conditions: 1
Allergic fungal rhinosinusitis
Specialty: Nose and Throat
Category: Nasal Conditions
Sub-category: Allergic and Inflammatory Disorders
Symptoms:
nasal congestion; chronic sinus pressure; facial pain; thick nasal discharge; decreased sense of smell; recurring sinus infections
Root Cause:
An allergic reaction to fungal elements in the nasal and sinus cavities, leading to inflammation, mucus production, and the formation of fungal debris and polyps.
How it's Diagnosed: videos
Nasal endoscopy, imaging studies like CT or MRI showing sinus opacification and fungal debris, and fungal cultures or IgE testing for allergic response.
Treatment:
Endoscopic sinus surgery to remove fungal debris and improve drainage, followed by long-term management with nasal corticosteroids and antihistamines.
Medications:
Nasal corticosteroids (e.g., fluticasone , budesonide ), oral corticosteroids (e.g., prednisone ) for severe inflammation, and antifungal agents (e.g., itraconazole ) for persistent fungal presence.
Prevalence:
How common the health condition is within a specific population.
More common in warm, humid climates; prevalence estimated at 5-10% of patients undergoing sinus surgery for chronic rhinosinusitis.
Risk Factors:
Factors or behaviors that increase the likelihood of developing the condition.
Asthma, allergic rhinitis, exposure to mold, history of chronic sinusitis, and immunocompromised states.
Prognosis:
The expected outcome or course of the condition over time.
Good with proper treatment, though recurrence is common and may require repeat surgery or ongoing medical therapy.
Complications:
Additional problems or conditions that may arise as a result of the original condition.
Chronic sinusitis, orbital cellulitis, intracranial complications (e.g., abscess), and reduced quality of life due to persistent symptoms.