Correll Daniel P, Luzi Scott A, Nelson Brenda L
Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA.
Head Neck Pathol. 2015 Dec;9(4):488-91. doi: 10.1007/s12105-014-0598-5. Epub 2014 Dec 24.
A 42 year old male presents with worsening pain and an increase in thick chronic drainage of the left sinus. Image studies show complete opacification of the left frontal sinus, left sphenoid sinus, and the left maxillary sinus. The patient was taken to the operating room and tissue for microscopic evaluation was obtained. The microscopic findings were classic for allergic fungal sinusitis: areas of alternating mucinous material and inflammatory cell debris and abundant Charcot-Leyden crystals. Cultures were performed and the patient began steroid therapy and desensitization therapy.
一名42岁男性，左侧鼻窦疼痛加重，浓稠的慢性分泌物增多。影像学检查显示左侧额窦、左侧蝶窦和左侧上颌窦完全浑浊。患者被送往手术室并获取组织进行显微镜评估。显微镜检查结果为变应性真菌性鼻窦炎的典型表现：黏液物质和炎性细胞碎片交替出现的区域以及大量夏科-莱登结晶。进行了培养，患者开始接受类固醇治疗和脱敏治疗。
