Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2019; 7(22): 3821-3831
Published online Nov 26, 2019. doi: 10.12998/wjcc.v7.i22.3821
Allergic fungal rhinosinusitis accompanied by allergic bronchopulmonary aspergillosis: A case report and literature review
Ke-Jia Cheng, Min-Li Zhou, Yong-Cai Liu, Shui-Hong Zhou
Ke-Jia Cheng, Min-Li Zhou, Yong-Cai Liu, Shui-Hong Zhou, Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: Zhou SH was responsible for writing the article; Liu YC and Zhou ML were responsible for reviewing the literature; Xu YY was responsible for collecting the information of the current case.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Shui-Hong Zhou, MD, PhD, Professor, Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou 310003, Zhejiang Province, China. 1190051@zju.edu.cn
Telephone: +86-571-87236895
Received: July 31, 2019
Peer-review started: July 31, 2019
First decision: September 9, 2019
Revised: September 30, 2019
Accepted: October 5, 2019
Article in press: October 5, 2019
Published online: November 26, 2019
Core Tip

Core tip: Concomitant allergic fungal rhinosinusitis (AFRS) and allergic bronchopulmonary aspergillosis (ABPA) are extremely rare. We describe the clinical presentation and treatment in one patient with AFRS accompanied by ABPA and review the English literature from 1970 to 2016. The most common pulmonary symptom was dyspnea. Twelve patients underwent surgery on the sinuses, all patients received oral glucocorticoids for at least 2 wk, and 11 patients received topical glucocorticoids. All patients achieved a good prognosis. Since different specialists treat ABPA and AFRS, their coexistence may be overlooked. AFRS accompanied by ABPA requires surgical therapy combined with medical control to improve the symptoms.