Chronic Rhinosinusitis in Allergic Asthmatic Patients: Radiography Versus Low-Dose Computed Tomography Evaluation

Stelmach, Rafaël; Dias, Sérvulo Azevedo; Figueiredo, Elisabete; Uezumi, Kiyomi Kato; Genu, Ana Maria; Carvalho-Pinto, Regina Maria; Cukier, Alberto

doi:10.3109/02770903.2010.481339

Cited by 13 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Forty percent of CRS patients have been shown to have asthma, and sinus x-ray or computed tomography (CT) showed that 93% of those with asthma also had sinusitis. 2,3 Although several studies of CRS with asthma exhibited a significant improvement during short-term follow-up, the outcomes were worse than in patients without asthma. 4,5 Hzowever, the long-term effect of FESS-oriented multimodality treatment has not been sufficiently studied.…”

Section: Introductionmentioning

confidence: 99%

“…Coexistence of asthma and rhinosinusitis has been noted in the medical literature for centuries. Forty percent of CRS patients have been shown to have asthma, and sinus x‐ray or computed tomography (CT) showed that 93% of those with asthma also had sinusitis . Although several studies of CRS with asthma exhibited a significant improvement during short‐term follow‐up, the outcomes were worse than in patients without asthma .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long‐term results of endoscopic sinus surgery–oriented treatment for chronic rhinosinusitis with asthma

et al. 2013

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long‐term results of endoscopic sinus surgery–oriented treatment for chronic rhinosinusitis with asthma

et al. 2013

View full text Add to dashboard Cite

show abstract

“…A retrospective study by Seybt et al [5] has supported the concept of "one airway one disease" or "united airways." A cross-sectional study by Stelmach et al [6] has supported the theory of airway anatomical abnormalities, a link for the coexistence.…”

Section: Introductionmentioning

confidence: 87%

Association between allergic rhinitis and asthma symptoms in adults in Sudan

Magzoub¹,

Musa²,

Elmahi³

et al. 2016

Int J Med Sci Public Health

View full text Add to dashboard Cite

Background: Many published epidemiologic studies confirm a marked increase in the prevalence of asthma and allergic rhinitis (AR). Information is scarce regarding prevalence of AR and its association with asthma symptoms in Sudanese adults. Objective: To determine the prevalence of AR symptoms in the adults in Sudan and its relation with asthma symptoms and to identify the common trigger factors for allergy symptoms. Materials and Methods: A cross-sectional study was performed in Western, Northern, Eastern, and Central Sudan. An epidemiological questionnaire was distributed among the university students, academic staff, employees, and workers chosen randomly. The questionnaire included cardinal asthma symptoms and nasal symptoms in the past year when the subject did not have cold or "flu", their seasonal occurrence, trigger factors, and the family history of asthma and AR. Result: A total of 3,974 respondents in the age group of 18-67 years were included. Average prevalence of asthma symptoms in Sudanese adults was 10%. Prevalence of AR symptoms was 49% in the total sample with a significantly (p = 0.004) higher prevalence among patients with asthma (72.3%, n = 458) compared with patients without asthma (32.6%, n = 3516). There was a strong association between AR and asthma symptoms in all the sites (odds ratio: 2.91-4.52). Positive family history was a strong risk factor for AR in all the sites (odds ratio: 3.38-4.24). Symptoms of AR were more prevalent in winter season followed by summer and autumn. Home dust was found to be the most prevalent trigger factor for symptoms of AR in all the sites. Conclusion: There is a high prevalence of AR symptoms in Sudanese adults, which is significantly associated with asthma symptoms.

show abstract

“…If any one of the findings that included mucosal thickening, opacity, and air-fluid level was observed in the PNS x-ray, the subject was considered as having comorbid sinusitis [10]. …”

Section: Methodsmentioning

confidence: 99%

The impact of sinusitis on the long-term clinical outcomes of asthma

Kim

Jung

Cho

et al. 2014

Asia Pacific Allergy

View full text Add to dashboard Cite

BackgroundUpper respiratory diseases have been linked with lower respiratory diseases. However, the long-term effect of sinusitis on the clinical outcomes of asthma has not been fully evaluated.ObjectiveThe aim of this study was to investigate the impact of sinusitis on the disease progression of asthma.MethodsSeventy-five asthmatic patients confirmed with the methacholine bronchial provocation test or bronchodilator response were included. The study patients underwent paranasal sinus x-ray upon their asthma evaluation and they visited the hospital at least 3 years or longer. We retrospectively reviewed their medical records and compared data according to the presence of comorbid sinusitis.ResultsAmong the 75 asthmatic subjects, 38 subjects (50.7%) had radiologic evidence of sinusitis. Asthmatics with sinusitis had significantly lower forced expiratory volume in 1 second (FEV1; 79.2% vs. 88.2%) and PC20 values (5.2 mg/mL vs. 8.9 mg/mL) compared to asthmatics without sinusitis at the time of diagnosis. This difference in FEV1 disappeared (82.6% vs. 87.2%) in the 3-year follow-up, although FEV1 was more variable (31.7% vs. 23.5%) and worst FEV1 was also significantly lower in patients with sinusitis compared to those without (70.9% vs. 79.0%). There were no significant differences in the number of hospital visits, acute exacerbations, and scores for the asthma control test.ConclusionAlthough sinusitis was associated with lower baseline lung function and higher hyperreactivity, sinusitis was not related with significant deterioration in lung function over 3 years of follow-up. Asthmatics with sinusitis showed more variability in lung function during the follow-up period. Healthcare utilization was not different except antibiotics use.

show abstract

Chronic Rhinosinusitis in Allergic Asthmatic Patients: Radiography Versus Low-Dose Computed Tomography Evaluation

Abstract: Low-dose CT significantly showed larger number of normal PS results and diagnosed more severe PS lesions. As the determination of true sinus severity lesion impacts in asthma control, low-dose CT may replace PS plain X-ray and conventional CT to support better clinical decisions.

Cited by 13 publications

References 30 publications

Long‐term results of endoscopic sinus surgery–oriented treatment for chronic rhinosinusitis with asthma

Long‐term results of endoscopic sinus surgery–oriented treatment for chronic rhinosinusitis with asthma

Association between allergic rhinitis and asthma symptoms in adults in Sudan

The impact of sinusitis on the long-term clinical outcomes of asthma

Contact Info

Product

Resources

About