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[Allergic fungal sinusitis: recent developments]
B R Sánchez Sánchez1, M Gallardo Rodríguez, J A Navarro Chavarría
1Servicio de otorrinolaringología, Hospital de Especialidades, CMN Siglo XXI, IMSS, México.
Abstract:
Allergic fungal sinusitis is a recently reported disease of the nose and paranasal sinuses. Since the first reports by Lamb et al and Katzenstein there has been controversy about its diagnosis and treatment. Recently diagnostic criteria have been suggested. To our judgement they have a high degree of specificity. Allergy to fungi elements is essential. Currently surgical treatment consist in an adequate ventilation of the nose and paranasal sinuses followed by the use of oral and topical steroids. Immunotherapy is controversial and more prospective studies are needed to evaluate its possible use.
Insights
Allergic fungal sinusitis, a nasal and sinus disease, requires fungal allergy confirmation for diagnosis. Treatment involves surgery, steroids, and potentially immunotherapy, though its use requires further study.
Area of Science:
- Otolaryngology
- Allergy Immunology
- Mycology
Context:
- Allergic fungal sinusitis (AFS) is a distinct sinonasal disease.
- Diagnosis and treatment of AFS have been debated since initial reports.
- Recent diagnostic criteria offer high specificity for AFS.
Purpose:
- To review the diagnostic criteria for allergic fungal sinusitis.
- To discuss current and potential treatment modalities for AFS.
- To highlight areas needing further research in AFS management.
Summary:
- AFS diagnosis hinges on confirmed allergy to fungal elements.
- Effective treatment includes surgical sinus ventilation and corticosteroid therapy (oral and topical).
- The role of immunotherapy in AFS management remains controversial and requires more research.
Impact:
- Provides clarity on AFS diagnostic standards.
- Outlines current evidence-based treatment strategies for AFS.
- Identifies critical research gaps for advancing AFS patient care.