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Orbital Complications of Extensive Allergic Fungal Rhinosinusitis: A Case Report
Salmah M Alharbi1, Ali Alzarei1, Talat Ardi1
1Otorhinolaryngology-Head and Neck Surgery Department, Aseer Central Hospital, Abha, SAU.
Abstract:
Allergic fungal rhinosinusitis is an immunoglobulin E-mediated disease caused by fungal antigens. Orbital complications due to bone erosion by the expanding, mucin-filled sinuses are considered uncommon, but they require immediate intervention. We report a successful management of a complicated case of allergic fungal rhinosinusitis in a 16-year-old female complaining of progressive nasal obstruction for four months, who only sought medical advice after developing proptosis and visual affection. The patient underwent surgical debridement and corticosteroid therapy followed by dramatic improvement of proptosis and vision. The differential diagnosis of proptosis with sinusitis must include allergic fungal rhinosinusitis.
Insights
Allergic fungal rhinosinusitis can cause rare orbital complications. Prompt surgical and corticosteroid treatment successfully resolved proptosis and vision loss in a teen patient.
Area of Science:
- Otolaryngology
- Ophthalmology
- Immunology
Background:
- Allergic fungal rhinosinusitis (AFRS) is an IgE-mediated condition.
- Orbital complications from AFRS, though uncommon, necessitate urgent intervention due to potential bone erosion.
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