Allergic fungal rhinosinusitis

摘要

Allergic fungal rhinosinusitis is a distinct form of chronic rhinosinusitis characterised by the formation of nasal polyps, accumulation of eosinophilic mucin and possible bony erosion and mucocoele formation. A type I hypersensitivity to fungi is present. Management is both medical and surgical, with regular follow-up. Endoscopic sinus surgery and systemic and topical corticosteroids play key roles in management. Allergen-specific immunotherapy is an attractive additional treatment.