Avaliação da rinussinusite bacteriana aguda em pacientes asmáticos com base em parâmetros clínicos, exame otorrinolaringológico e estudo de imagem

• Autor(a) principal: Faure, Alecsandra Calil Moises [UNIFESP]
• Data de Publicação: 2008
• Outros Autores: Santoro, Ilka Lopes [UNIFESP], Weckx, Luc Louis Maurice [UNIFESP], Lederman, Henrique Manoel [UNIFESP], Fernandes, Artur da Rocha Correa [UNIFESP], Fernandes, Ana Luisa Godoy [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S1806-37132008000600002; http://repositorio.unifesp.br/handle/11600/4397
• topic: Asthma; Sinusitis; Radiography; Tomography, X-ray computed; Endoscopy; Asma; Sinusite; Radiografia; Tomografia computadorizada por raios X; Endoscopia

OBJECTIVE: To evaluate paranasal sinuses in patients with stable or acute asthma in order to determine the prevalence of acute bacterial rhinosinusitis. METHODS: A cross-sectional study including 30 patients with acute asthma (73% females) treated in the emergency room and 30 patients with stable asthma (80% females) regularly monitored as outpatients. All patients completed a questionnaire on respiratory signs and symptoms and were submitted to ear, nose and throat (ENT) examination, as well as to X-ray and computed tomography (CT) imaging of the sinuses. RESULTS: Based on the clinical diagnosis, the prevalence of acute bacterial rhinosinusitis was 40% in the patients with acute asthma and 3% in those with stable asthma. The ENT examination findings and the imaging findings in isolation were not useful to confirm the diagnosis. CONCLUSIONS: In themselves, ENT examination findings, X-ray findings and CT findings were not useful for the diagnosis of acute bacterial rhinosinusitis. Our results provide further evidence that a clinical diagnosis of bacterial rhinosinusitis should be made with caution.