Progressive Headaches and Right Eye Proptosis

  • Gordon Myers
  • Michael E. Dunham
  • Luke A. WallEmail author

Practical Points

  • Allergic fungal rhinosinusitis is a distinct subtype of chronic rhinosinusitis with nasal polyposis

  • The diagnosis of allergic fungal rhinosinusitis has five major criteria: (1) type I hypersensitivity to fungus, (2) eosinophilic mucin in one or more sinus cavities without invasion, (3) characteristic CT scan findings, (4) nasal polyposis, and (5) positive fungal stain

  • Epidemiologically, the majority of patients with allergic fungal rhinosinusitis reside in the southeastern United States

  • Treatment options include a combination of endoscopic sinus surgery, systemic and topical glucocorticoids, and immunotherapy to fungal and non-fungal allergens. Preliminary studies support the use of omalizumab


Allergic fungal rhinosinusitis Nasal polyposis Intranasal steroid Allergen immunotherapy 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Gordon Myers
    • 1
  • Michael E. Dunham
    • 2
  • Luke A. Wall
    • 1
    Email author
  1. 1.Section of Allergy Immunology, Department of Pediatrics, Children’s HospitalLouisiana State University School of MedicineNew OrleansUSA
  2. 2.Pediatric Otolaryngology, Children’s HospitalLouisiana State University School of MedicineNew OrleansUSA

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