Polyps, grommets and eosinophilic granulomatosis with polyangiitis

To explore the link between nasal polyposis, refractory otitis media with effusion and eosinophilic granulomatosis with polyangiitis. A retrospective observational study was carried out of patients diagnosed with refractory otitis media with effusion necessitating grommet insertion and who had nasal...

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Veröffentlicht in:Journal of laryngology and otology 2018-03, Vol.132 (3), p.236-239
Hauptverfasser: Kavanagh, F G, Hasan, W, Smyth, D A, Fenton, J E
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container_title Journal of laryngology and otology
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creator Kavanagh, F G
Hasan, W
Smyth, D A
Fenton, J E
description To explore the link between nasal polyposis, refractory otitis media with effusion and eosinophilic granulomatosis with polyangiitis. A retrospective observational study was carried out of patients diagnosed with refractory otitis media with effusion necessitating grommet insertion and who had nasal polyps. Patients were evaluated to determine if they fulfilled the diagnostic criteria of eosinophilic granulomatosis with polyangiitis. Sixteen patients (10 males and 6 females) were identified. The mean age of grommet insertion was 45.4 years. The mean number of grommets inserted per patient was 1.6. The mean number of nasal polypectomies was 1.7. All 16 patients had paranasal sinus abnormalities and otitis media with effusion, 14 had asthma, 9 had serological eosinophilia and 7 had extravascular eosinophilia. Nine patients met the diagnostic criteria for eosinophilic granulomatosis with polyangiitis. The co-presence of nasal polyps and resistant otitis media with effusion should raise the possibility of eosinophilic granulomatosis with polyangiitis.
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A retrospective observational study was carried out of patients diagnosed with refractory otitis media with effusion necessitating grommet insertion and who had nasal polyps. Patients were evaluated to determine if they fulfilled the diagnostic criteria of eosinophilic granulomatosis with polyangiitis. Sixteen patients (10 males and 6 females) were identified. The mean age of grommet insertion was 45.4 years. The mean number of grommets inserted per patient was 1.6. The mean number of nasal polypectomies was 1.7. All 16 patients had paranasal sinus abnormalities and otitis media with effusion, 14 had asthma, 9 had serological eosinophilia and 7 had extravascular eosinophilia. Nine patients met the diagnostic criteria for eosinophilic granulomatosis with polyangiitis. 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subjects Adult
Allergies
Asthma
Blood
Blood diseases
Churg-Strauss Syndrome - epidemiology
Ear diseases
Effusion
Eosinophilia
Female
Granulomatosis
Hospitals
Humans
Inflammatory diseases
Ireland - epidemiology
Larynx
Leukocytes (eosinophilic)
Main Articles
Male
Middle Aged
Middle Ear Ventilation
Nasal Polyps - epidemiology
Nasal Polyps - surgery
Nose
Otitis media
Otitis Media with Effusion - epidemiology
Otitis Media with Effusion - surgery
Otolaryngology
Paranasal sinus
Patients
Polyposis
Polyps
Retrospective Studies
Rheumatology
Sinus
Surgery
Vein & artery diseases
title Polyps, grommets and eosinophilic granulomatosis with polyangiitis
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