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Chapter 11: Granulomatous diseases and chronic sinusitis.
Michael A Kohanski1, Douglas D Reh
1Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins Sinus Center, Baltimore, Maryland 21287, USA.
American Journal of Rhinology & Allergy
|May 29, 2013
Summary
Nasal symptoms like crusting and rhinitis can signal serious systemic diseases. This review covers granulomatous diseases, their head and neck signs, and management strategies.
Area of Science:
- Otolaryngology
- Rheumatology
- Pathology
Background:
- Nasal symptoms such as crusting, rhinitis, and sinusitis are common but can indicate underlying systemic disorders.
- Granulomatous diseases, including Wegener's granulomatosis, Churg-Strauss syndrome, and sarcoidosis, can manifest in the head and neck.
- Management of these conditions requires a multidisciplinary approach involving specialists like otolaryngologists.
Purpose of the Study:
- To review granulomatous diseases and their specific rhinologic manifestations.
- To discuss diagnostic tests for identifying these conditions.
- To outline systemic and local treatment options for granulomatous diseases affecting the nose.
Main Methods:
- Literature review of granulomatous diseases with head and neck involvement.
- Analysis of diagnostic criteria and testing relevant to rhinologic symptoms.
- Summary of current treatment modalities, both systemic and local.
Main Results:
- Granulomatous diseases present with diverse rhinologic symptoms.
- Diagnostic workup involves a combination of clinical evaluation, imaging, and biopsy.
- Treatment strategies are tailored to the specific disease and may include immunosuppressants and local therapies.
Conclusions:
- Otolaryngologists play a crucial role in diagnosing and managing patients with granulomatous diseases presenting with nasal symptoms.
- Early recognition and multidisciplinary management are key to improving outcomes for patients with these systemic disorders.
- Understanding the rhinologic manifestations of granulomatous diseases is essential for comprehensive patient care.
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