European Archives of Oto-Rhino-Laryngology

, Volume 270, Issue 12, pp 3095–3098

The prevalence of allergic fungal rhinosinusitis in sinonasal polyposis

  • Mehdi Bakhshaee
  • Mohammad Fereidouni
  • Morteza Nourollahian Mohajer
  • Mohammad Reza Majidi
  • Farahzad Jabbari Azad
  • Toktam Moghiman


Allergic fungal sinusitis (AFS) is a noninvasive form of fungal rhinosinusitis with a prevalence of 6–9 % among all rhinosinusitis cases requiring surgery. The fungi causing AFRS have a great diversity and regional variation in the incidence of AFS has been reported worldwide. The aim of this study was to evaluate the prevalence of AFS among rhinosinusitis patients in the north east of Iran. In a prospective cross-sectional study 127 patients with sinonasal polyposis who were candidates for surgery were recruited. All cases were evaluated by sinonasal CT scan, Prick test for common regional allergens, total serum immunoglobulin E (IgE) level, and allergic mucin culture for fungi in suspected cases. Data analyses were done using SPSS version 13.0. Their mean age was 37.4 ± 11.6 years, the male-to-female ratio was 69/58. Eleven patients (9.45 %) met the AFS criteria. Nine cases had a positive culture for Aspergillus specimen and three for Alternaria. Prick test was positive for at least one allergen in 28 cases (22.05 %). The most common allergen was weed. The total IgE level was significantly higher in AFS patients. This study showed the prevalence of AFS among patients with nasal polyposis to be 9.45 %.


Allergy Allergic fungal sinusitis Aspergillus Nasal polyp Rhinosinusitis 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Mehdi Bakhshaee
    • 1
  • Mohammad Fereidouni
    • 2
  • Morteza Nourollahian Mohajer
    • 1
  • Mohammad Reza Majidi
    • 3
  • Farahzad Jabbari Azad
    • 4
  • Toktam Moghiman
    • 5
  1. 1.Ear, Nose and Throat Research Center, Imam Reza Hospital, Faculty of MedicineMashhad University of Medical SciencesMashhadIran
  2. 2.Asthma, Allergy and Immunology Research Center, Faculty of MedicineBirjand University of Medical SciencesBirjandIran
  3. 3.Department of Otorhinolaryngology, Ear, Nose and Throat surgery, Qaem HospitalMashhad University of Medical SciencesMashhadIran
  4. 4.Depatment of Clinical Allergy and Immunology, Allergy Research Center, Faculty of MedicineMashhad University of Medical SciencesMashhadIran
  5. 5.Allergy Research Center. Qaem Hospital, School of MedicineMashhad University of Medical SciencesMashhadIran

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