PMID- 25221765 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140915 LR - 20211021 IS - 2277-9175 (Print) IS - 2277-9175 (Electronic) IS - 2277-9175 (Linking) VI - 3 DP - 2014 TI - Effectiveness of itraconazole on clinical symptoms and radiologic findings in patients with recurrent chronic rhinosinusitis and nasal polyposis. PG - 162 LID - 10.4103/2277-9175.139124 [doi] LID - 162 AB - BACKGROUND: This study was done to evaluate the effect of itraconazole on clinical symptoms and radiologic findings in patients with chronic rhinosinusitis and nasal polyposis after surgery. MATERIALS AND METHODS: In a clinical trial which was conducted in Alzahra and Kashani hospitals, from November 2011 to December 2012, 22 patients with recurrent postsurgical chronic sinusitis and polyposis entered the study. At the start of the study demographic data, subjective clinical symptoms (severity of rhinorrhea, nasal obstruction, hyposmia, and dyspnea), quality of life (QoL) by sinonasal outcome test-20 (SNOT-20), serum immunoglobulin E (IgE), and score of computed tomography (CT) scan (by Lund-Mackay) were recorded. Itraconazole (100 mg, twice per day) prescribed for 3 months and patients were followed in the 1(st), 3(rd), and 6(th) months. Liver enzyme tests and side effects were evaluated monthly. RESULTS: Severity of rhinorrhea, nasal obstruction, hyposmia, dyspnea, and QoL (by SNOT-20) improved during 3 months of treatment. Serum IgE was 265 (+/-277) at the start of the study, and decrease to 193 (+/-183) after 3 month. After 3 month, Lund-Mackay score of CT scan lowered from 19 (+/-4) to 15 (+/-6) (P < 0.05). At the 6(th) month, severity of clinical symptoms except dyspnea and QoL were better than first evaluation. CONCLUSION: This study showed the beneficial effect of 3-month itraconazole treatment on clinical symptoms and radiologic findings and QoL in patients with recurrent postsurgical chronic rhinosinusitis and nasal polyposis. FAU - Hashemi, Mostafa AU - Hashemi M AD - Department of Otorhinolaryngology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Fereidani, Akram AU - Fereidani A AD - Department of Otorhinolaryngology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Berjis, Nezamoddin AU - Berjis N AD - Department of Otorhinolaryngology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Okhovat, Sayyed Ahmad Reza AU - Okhovat SA AD - Department of Otorhinolaryngology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Eshaghain, Afrooz AU - Eshaghain A AD - Department of Otorhinolaryngology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. LA - eng PT - Journal Article DEP - 20140819 PL - India TA - Adv Biomed Res JT - Advanced biomedical research JID - 101586897 PMC - PMC4162036 OTO - NOTNLM OT - Chronic rhinosinusitis OT - itraconazole OT - nasal polyposis COIS- Conflict of Interest: None declared. EDAT- 2014/09/16 06:00 MHDA- 2014/09/16 06:01 PMCR- 2014/08/19 CRDT- 2014/09/16 06:00 PHST- 2013/02/04 00:00 [received] PHST- 2013/05/05 00:00 [accepted] PHST- 2014/09/16 06:00 [entrez] PHST- 2014/09/16 06:00 [pubmed] PHST- 2014/09/16 06:01 [medline] PHST- 2014/08/19 00:00 [pmc-release] AID - ABR-3-162 [pii] AID - 10.4103/2277-9175.139124 [doi] PST - epublish SO - Adv Biomed Res. 2014 Aug 19;3:162. doi: 10.4103/2277-9175.139124. eCollection 2014.