A case series on allergic fungal rhino sinusitis – variable presentations

Allergic fungal rhino sinusitis (AFRS) is a non-invasive resulting from an allergic and immunologic response to the presence of extramucosal hyphae in sinuses. Defined largely by mucin, which thick, tenacious, eosinophilic secretion with characteristic histologic findings. To present case series on variable presentations patients diagnosed AFRS. A retrospective study 10 cases that presented Rajiv Gandhi Government General Hospital ENT outpatient department rhinosinusitis confirmed diagnostic nasal endoscopy CT scan who were managed successfully endoscopic sinus surgery. In our study, out cases, nine had unilateral symptoms, only one patient has bilateral symptoms. Most common presentation was headache, facial pain, obstruction, discharge. Some such as proptosis, oroantral fistula, blurring vision, watering eye, frontal headache. On endoscopy, two polyposis. Complete disease clearance achieved functional Patients started topical oral corticosteroids, pre/postoperatively. follow-up, recurrence. Preventing treating condition, well its spread complications, are greatly aided early detection management The key enhancing result surgical intervention (endoscopic surgery) medical therapy (corticosteroids). Antifungals have limited role treatment Longstanding Sinusitis should always raise suspicious