Abstract
Introduction: We aimed to retrospectively evaluate physical and radiological sinonasal examination findings of bronchial asthma patients with positive skin prick test results.
Material and method: A total of 126 bronchial asthma patients with positive skin prick test results were enrolled in the study. Of 126 patients, the skin prick test determined grain allergy in 78 patients (61.9 %), weed allergy in 70 patients (55.5 %), house dust allergy in 61 patients (48.4 %), tree pollen allergy in 38 patients (30.1 %), mushroom allergy in 19 patients (15 %), and animal hair allergy in 14 patients (11.1%). In nasal speculum examination under direct light, 52 % nasal septum deviations (n=66), 19 % hypertrophies of the turbinates (n=24), 19.8 % serous discharges (n=25), 3.1 % polyps (n=4) , 0.79 % nasal crusting (n=1), 0,79 % septal perforation (n=1), and 7.1% pallor of the mucous membranes or hyperemia (n=9) was identified. The computed tomography of paranasal sinuses were accessible in 91 patients, of whom 28 (30.7 %) had mucosal thickening of sinuses, 21 (23%) had opacification of sinuses, 17 (18.6 %) had sinus mucus retention cysts, 11 (12%) had adenoid hypertrophies, and 5 (5.4%) had polyps.
Conclusion: In bronchial asthma patients with positive test result for skin prick testing, the most common allergy was found against the grains, weeds, and the house dusts. Deviated septum, turbinate hypertrophy, serous discharge, and pallor of the mucous membranes were often detected pathologies in physical examination. According to the radiologic findings, mucosal thickening and opacification of the sinuses were most common imaging findings.
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