In recent years, Aspergillosis of the nose and paranasal sinuses have gained wider interest by both clinicians ans pathologists. Four distinct clinicopathologic presentations have been recognized namely, the Aspergilloma, the Allergic sinusitis, the fulminant sinusitis and the chronic indolent sinusitis. Allergic sinusitis is a newly recognized form of non invasive, extramucosal sinus aspergillosis that usually affects young atopic adults, with a story of asthma, nasal polyps and previous (limited ?) sinus surgery. CT scan usually shows opacification of several sinuses, but often unilaterally. The histopathologic findings are similar with that noted in ABPA. The authors report an unusual case of allergic Aspergillus sinusitis that involves the sphenoid sinus only. They highlight the clinical presentation, the imaging (CT and MRI), and the treatment. The latter must combine radical sinus surgery and glucocorticoid.
Full conference title:
The 2nd Meeting of the European Confederation of Medical Mycology
- ECMM 2nd (1995)