Cited 5 times in
Comparison of the clinical characteristics of bilateral and unilateral fungal balls in Korea
DC Field | Value | Language |
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dc.contributor.author | 김경수 | - |
dc.contributor.author | 이은정 | - |
dc.date.accessioned | 2019-09-20T07:56:50Z | - |
dc.date.available | 2019-09-20T07:56:50Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0937-4477 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/171128 | - |
dc.description.abstract | OBJECTIVE: Fungal rhinosinusitis occurs in different forms depending on race and region. While allergic fungal rhinosinusitis is common in Caucasians, fungal ball (FB) is more common in Asians. However, most cases are reported as unilateral, and clinical data on bilateral FB (BFB) are rare. Therefore, the purpose of this study was to analyze and to compare the clinical characteristics of BFB and unilateral FB (UFB) in Koreans. METHODS: We retrospectively analyzed medical records and computed tomography (CT) images of 434 patients diagnosed with FB. The patients were divided into two groups: BFB and UFB. Demographic data, multiple allergen simultaneous test including total or specific immunoglobulin E (IgE) levels, symptoms, CT findings, treatment, and outcomes were analyzed. RESULTS: Among the patients, 26 had BFB and 408 had UFB. Hypertension was noted in 61.5% of the BFB and 39% of the UBF individuals (p = 0.023). While total IgE levels were similar between the two groups, Dermatophagoides pteronyssinus (p = 0.004), Cladosporium (p = 0.017), and Aspergillus-specific IgE positivity (p = 0.025) were significantly higher in the BFB than in the UFB group. Not only symptoms such as postnasal drip (p = 0.013), mucopurulent rhinorrhea (p = 0.009), and foul odor (p = 0.037), but also sphenoid sinus involvement on CT images were more common in the BFB than in the UFB group (p = 0.011). CONCLUSION: Patients with BFB in Korea showed more common hypertension and symptoms of foul odor, mucopurulent rhinorrhea, and postnasal drip with allergy positivity compared to those with UFB. Therefore, understanding clinical characteristics of BFB will allow clinicians to approach BFB more appropriately. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer International | - |
dc.relation.isPartOf | European Archives of Oto-Rhino-Laryngology | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Comparison of the clinical characteristics of bilateral and unilateral fungal balls in Korea | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학교실) | - |
dc.contributor.googleauthor | Sang Hyeon Ahn | - |
dc.contributor.googleauthor | Eun Jung Lee | - |
dc.contributor.googleauthor | Min Pyo Hong | - |
dc.contributor.googleauthor | Geun Cheol Shin | - |
dc.contributor.googleauthor | Kyung-Su Kim | - |
dc.identifier.doi | 10.1007/s00405-019-05408-6 | - |
dc.contributor.localId | A00298 | - |
dc.contributor.localId | A03046 | - |
dc.relation.journalcode | J00802 | - |
dc.identifier.eissn | 1434-4726 | - |
dc.identifier.pmid | 30929057 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00405-019-05408-6 | - |
dc.subject.keyword | Aspergillus | - |
dc.subject.keyword | Bilateral | - |
dc.subject.keyword | Fungal ball | - |
dc.subject.keyword | Fungal rhinosinusitis | - |
dc.subject.keyword | Korea | - |
dc.contributor.alternativeName | Kim, Kyung Su | - |
dc.contributor.affiliatedAuthor | 김경수 | - |
dc.contributor.affiliatedAuthor | 이은정 | - |
dc.citation.volume | 276 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1975 | - |
dc.citation.endPage | 1980 | - |
dc.identifier.bibliographicCitation | European Archives of Oto-Rhino-Laryngology, Vol.276(7) : 1975-1980, 2019 | - |
dc.identifier.rimsid | 63295 | - |
dc.type.rims | ART | - |
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