Term
| What is the most common cause of allergic fungal sinusitis? |
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Definition
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Term
| What are charcot-leyden crystals composed of? |
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Definition
| eosinophil-degradation products |
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Term
| What is the diagnostic criteria of allergic fungal sinusitis? |
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Definition
type I hypersensitivty to fungi (skin testing or IgE)
nasal polyposis
sinus CT or MRI changes
+ fungal stain of sinus content
histology with eosinophil=rick allergic mucin and fungal elements with no invasion of respiratory mucosa |
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Term
| What is the tx of allergic fungal sinusitis? |
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Definition
endoscopic sinus surgery, nasal irrigation, oral corticosteroids, (preop and 3-4 wks postop), topical nasal steroids, IT
Anti-fungals not been shown to be significant |
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