Pediatric Allergy and Respiratory Pathophysiology Unit, Istituti Clinici di Perfezionamento, Milan, Italy.
Int J Immunopathol Pharmacol. 2010 Jan-Mar;23(1 Suppl):24-8.
Rhinosinusitis is an extremely common disease that is often underreported, especially in children. Its clinical spectrum includes acute rhinosinusitis (ARS) which may present in the forms of ARS with persistent symptoms and ARS with severe symptoms and chronic rhinosinusitis (CRS), characterized by a duration longer than 12 weeks and prevalence of symptoms such as nasal congestion and cough. Moreover, rhinosinusitis may present with associated disorders, that are nasal polyposis and aspirin sensitivity, asthma, otitis media with effusion, and gastroesophageal reflux. A particular form is fungal rhinosinusitis, presenting in an invasive and noninvasive form, the latter including allergic fungal sinusitis, which is the most common form of fungal rhinosinusitis and should be suspected in children with nasal polyposis and atopy.
鼻窦炎是一种非常常见的疾病，往往未被充分报告，尤其是在儿童中。其临床谱包括急性鼻窦炎（ARS），可能表现为持续症状的 ARS 和严重症状的 ARS，以及慢性鼻窦炎（CRS），其特征是持续时间超过 12 周，且存在鼻塞和咳嗽等症状。此外，鼻窦炎可能伴有相关疾病，如鼻息肉和阿司匹林敏感性、哮喘、分泌性中耳炎和胃食管反流。一种特殊形式是真菌性鼻窦炎，有侵袭性和非侵袭性两种形式，后者包括变应性真菌性鼻窦炎，这是最常见的真菌性鼻窦炎形式，在患有鼻息肉和特应性的儿童中应怀疑该病。
