PMID- 8072352 OWN - NLM STAT- MEDLINE DCOM- 19940929 LR - 20041117 IS - 0023-852X (Print) IS - 0023-852X (Linking) VI - 104 IP - 9 DP - 1994 Sep TI - Allergic fungal sinusitis: the Mayo Clinic experience. PG - 1074-9 AB - The diagnosis of allergic fungal sinusitis (AFS) is difficult to establish. The clinical presentation is not diagnostic. We define current criteria for diagnosis and the role of total and specific immunoglobulin E (IgE) and immunoglobulin G (IgG) levels in the disease process and review the clinical features of this disease. Fifty-one cases were identified in 44 patients who demonstrated characteristic allergic mucin. Thirty-one of these cases satisfied rigid criteria for the diagnosis of AFS. Twenty of these cases were classified as AFS-like syndrome. The prevalence of strictly defined AFS was 4.0%. Dematiaceous fungi were the predominant agents cultured. All our patients had polyps, 23 (54%) had asthma, 12 (27%) had aspirin sensitivity, 20 (65%) had eosinophilia, and 9 (69%) had increased total IgE levels. FAU - Cody, D T 2nd AU - Cody DT 2nd AD - Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55905. FAU - Neel, H B 3rd AU - Neel HB 3rd FAU - Ferreiro, J A AU - Ferreiro JA FAU - Roberts, G D AU - Roberts GD LA - eng PT - Journal Article PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Antigens, Fungal) RN - 0 (Mucins) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Alternaria/isolation & purification MH - Antigens, Fungal/analysis MH - Eosinophils/pathology MH - Female MH - Humans MH - Hypersensitivity/*epidemiology/immunology/metabolism/pathology MH - Immunoglobulin E/analysis MH - Leukocyte Count MH - Male MH - Middle Aged MH - Minnesota/epidemiology MH - Mucins/analysis MH - Mycoses/*epidemiology/immunology/metabolism/pathology MH - Prevalence MH - Sinusitis/*epidemiology/immunology/metabolism/*microbiology/pathology EDAT- 1994/09/01 00:00 MHDA- 2001/03/28 10:01 CRDT- 1994/09/01 00:00 PHST- 1994/09/01 00:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1994/09/01 00:00 [entrez] AID - 10.1288/00005537-199409000-00005 [doi] PST - ppublish SO - Laryngoscope. 1994 Sep;104(9):1074-9. doi: 10.1288/00005537-199409000-00005.