<p class="abstract">Prevalence of allergic diseases including asthma, rhinitis, anaphylaxis, food, drug or insect allergy, is rising worldwide affecting about 10-25% of population being one of the top ten reasons for visit to primary care physicians. Though it often adversely affects the quality of life; in India allergic rhinitis is often regarded as trivial disease and patients fail to attribute the ill health to its symptoms<span lang="EN-IN">. </span>In study on children with allergic rhinitis nasal symptoms and rhinoconjunctivitis were present and there was consistent rise in its prevalence. Proportion of blockers is higher compared to sneeze runners. Nasal obstruction was the most common symptom and blockers had significantly more sensitization to polyvalent house dust, house dust mites and fungi, whereas sneeze-runners had more sensitization to pollens, asthma was the most common comorbid condition present, In majority of children had one or more comorbidity, allergic rhinitis adversely affected behaviour, work performance and life style of patients.</p>
Sinus histiocytosis with massive lymphadenopathy (SHML) is a benign proliferating histiocytic disorder, predominantly of lymphnodes with extranodal involvement also seen. We present a case of 35 years old female with history of multiple swellings in neck since 1 month duration. On examination patient had painless bilateral cervical lymphadenopathy. No other ENT manifestations noted. Lymphnode biopsy revealed SHML. Abdominal scan and chest X-ray was done which was normal. This case report highlights the clinical, histological aspects of SHML, Rosai-Dorfman disease.
<p class="abstract">Rhinosporidiosis is an infective chronic granulomatous lesion caused by an organism rhinosporidium seeberi, which is seen endemic in some parts of Asia. This organism is difficult to culture and the diagnosis is based on histopathological examination. This disease is more commonly seen in men, in second to third decade..<strong> </strong>This case report is regarding a case of a 55 years old lady with history of recurrent rhinosporidiosis in nose. The lesion was found to arise from the inferior meatus and was pale smooth glistening in appearance, insensitive and does not bleed on touch. Site of origin of the polyp and the appearance was atypical of that of rhinosporidiosis. Patient was subjected for endoscopic excision and cauterisation of the base of the lesion and sent for histopathological examination .Biopsy confirmed the diagnosis of rhinosporidiosis.</p>
<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis is an extremely prevalent disorder which has significant effect on quality of life of affected individual. Varied symptomatology and varied etiology of unilateral chronic maxillary rhinosinusitis requires a comprehensive approach by otorhinolaryngologist. The objectives of the study were to evaluate the causative factor of unilateral chronic maxillary sinusitis and to study clinical presentation of unilateral chronic maxillary sinusitis<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> 50 patients with symptoms and signs suggestive of unilateral chronic maxillary sinusitis were evaluated. All were subjected to detailed clinical history, ENT examination including complete orodental examination, diagnostic nasal endoscopy, intra oral peri apical radiographs, CT scan of para nasal sinuses<span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> Of total of 50 patients studied, gross deviated nasal septum (DNS) is commonest cause of chronic unilateral maxillary sinusitis followed by dental infection of upper premolars<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> This study was carried out with an effort to find out etiology of unilateral chronic maxillary sinusitis as identification of etiology will help in successful outcome of the treatment<span lang="EN-IN">.</span></p>
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