Allergic fungal sinusitis: CT findings

Suresh K. Mukherji, Ramon E. Figueroa, Lawrence E. Ginsberg, Barbara A. Zeifer, Bradley F. Marple, John G. Alley, Laura L. Cooper, William R. Nemzek, David M. Yousem, Kim R. Jones, Stephen B. Kupferberg, Mauricio Castillo

Research output: Contribution to journalArticle

123 Citations (Scopus)

Abstract

PURPOSE: To determine the computed tomographic (CT) findings in patients with allergic fungal sinusitis. MATERIALS AND METHODS: The authors retrospectively reviewed CT scans and surgical and histopathologic reports in 45 patients (27 male, 18 female; age range, 8-68 years) with allergic fungal sinusitis from multiple institutions. The median age (25 years) and demographics of the patients were determined. Two head and neck radiologists together evaluated the CT scans for the presence of intrasinus high- attenuation areas, extent of sinus involvement, bone expansion and thinning, bone erosion, and extension of disease into the adjacent soft tissues. RESULTS: Allergic fungal sinusitis was more common in male patients and in patients aged 20-30 years. All patients had increased intrasinus attenuation at non-contrast material-enhanced CT. Multiple sinus involvement occurred in 43 patients. Bilateral involvement was more common than unilateral disease. Forty-four patients had complete opacification of at least one of the involved sinuses; 43 of these patients had expansion of an involved sinus, 42 had remodeling and thinning of the bony sinus walls, and 41 had erosion of the sinus wall. CONCLUSION: Allergic fungal sinusitis is a distinct clinical entity with nonspecific symptoms that may be initially suggested by the CT findings. These findings should alert the clinician to the possibility of allergic fungal sinusitis and prompt other diagnostic studies to establish the diagnosis and treatment plan.

Original languageEnglish (US)
Pages (from-to)417-422
Number of pages6
JournalRadiology
Volume207
Issue number2
StatePublished - May 1998

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Sinusitis
Bone and Bones
Neck
Head
Demography

Keywords

  • Anaphylaxis and allergy
  • Aspergillosis
  • Paranasal sinuses, CT
  • Sinusitis

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Mukherji, S. K., Figueroa, R. E., Ginsberg, L. E., Zeifer, B. A., Marple, B. F., Alley, J. G., ... Castillo, M. (1998). Allergic fungal sinusitis: CT findings. Radiology, 207(2), 417-422.

Allergic fungal sinusitis : CT findings. / Mukherji, Suresh K.; Figueroa, Ramon E.; Ginsberg, Lawrence E.; Zeifer, Barbara A.; Marple, Bradley F.; Alley, John G.; Cooper, Laura L.; Nemzek, William R.; Yousem, David M.; Jones, Kim R.; Kupferberg, Stephen B.; Castillo, Mauricio.

In: Radiology, Vol. 207, No. 2, 05.1998, p. 417-422.

Research output: Contribution to journalArticle

Mukherji, SK, Figueroa, RE, Ginsberg, LE, Zeifer, BA, Marple, BF, Alley, JG, Cooper, LL, Nemzek, WR, Yousem, DM, Jones, KR, Kupferberg, SB & Castillo, M 1998, 'Allergic fungal sinusitis: CT findings', Radiology, vol. 207, no. 2, pp. 417-422.
Mukherji SK, Figueroa RE, Ginsberg LE, Zeifer BA, Marple BF, Alley JG et al. Allergic fungal sinusitis: CT findings. Radiology. 1998 May;207(2):417-422.
Mukherji, Suresh K. ; Figueroa, Ramon E. ; Ginsberg, Lawrence E. ; Zeifer, Barbara A. ; Marple, Bradley F. ; Alley, John G. ; Cooper, Laura L. ; Nemzek, William R. ; Yousem, David M. ; Jones, Kim R. ; Kupferberg, Stephen B. ; Castillo, Mauricio. / Allergic fungal sinusitis : CT findings. In: Radiology. 1998 ; Vol. 207, No. 2. pp. 417-422.
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