Abstract
A previously healthy 67-year-old man visited the otorhinolaryngologist’s office reporting mucinous nasal secretion, postnasal drip, and right nasal stuffiness for 8 months. On the initial visit, the nasal endoscopy revealed only sparsely pooled mucinous discharge in the right middle meatus with no mass lesion or nasal polyps. A computed tomography image revealed diffusely thickened mucosa of the right maxillary sinus partially filled with a dense secretion showing areas of hyperattenuation in the bone window setting (Figure 1, arrowhead). No focal microcalcifications, bony destructions, or bony remodeling were identified in the maxillary sinus. The patient had serum eosinophilia of 598 eosinophils/μL (9.7% total white blood cells). The radioallergosorbent test showed an elevated total IgE concentration of 915.60 IU/mL and the multiple allergen simultaneous test revealed type I hypersensitization (atopy) to Aspergillus spp. (class 3), Cladosporium spp. (2+), weak sensitization to Penicillium spp. (1+), and none to Alternaria spp.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call