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Allergic Fungal Sinusitus

Allergic Fungal Sinusitis

Senior Surgery
January 16, 2005

Fungal sinusitis currently encompasses four different histologic categories with allergic fungal sinusitis (AFS) being the most common. The other three, in order of decreasing frequency, include mycetoma (also known as a "fungus ball"), chronic invasive fungal sinusitis, and acute fulminant fungal sinusitis (Granville). AFS and mycetoma are seen in immunocompetent patients while the chronic invasive and acute fulminant forms are seen in immunocompromised patients. This group of diagnoses range from merely irritating AFS to rapidly fatal acute sinusitis. Invasive disease rarely occurs in AFS (Cox and Perfect).
In recent years, there has been an increase in the number of reported AFS cases (Tichenor), and Cox and Perfect suggest that this is due to lack of awareness on the physician's part, a view that will likely change with the recent attention given to allergic fungal sinusitis. In a retrospective study by......


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Approximate Word Count: 1128
Approximate Pages: 5 (250 words per double-spaced page)

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