Rhinosinusitis differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Acute rhinosinusitis=== | |||
Acute rhinosinusitis must be differentiated from: | |||
*Allergic rhinitis | |||
*Headaches and midfacial pain syndromes: migraine, tension-type headache, cluster headache, paroxysmal hemicrania, atypical facial pain and midfacial segment pain | |||
*Orofacial pain syndromes (e.g. temporomandibular disorders) | |||
*Dental disease | |||
*Chronic fatigue syndrome | |||
===Chronic rhinosinusitis=== | |||
Chronic rhinosinusitis must be differentiated from:<ref name="pmid16416688">{{cite journal| author=Slavin RG, Spector SL, Bernstein IL, Kaliner MA, Kennedy DW, Virant FS et al.| title=The diagnosis and management of sinusitis: a practice parameter update. | journal=J Allergy Clin Immunol | year= 2005 | volume= 116 | issue= 6 Suppl | pages= S13-47 | pmid=16416688 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16416688 }} </ref><ref name="pmid9835855">{{cite journal| author=Fagnan LJ| title=Acute sinusitis: a cost-effective approach to diagnosis and treatment. | journal=Am Fam Physician | year= 1998 | volume= 58 | issue= 8 | pages= 1795-802, 805-6 | pmid=9835855 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9835855 }} </ref><ref name="pmid25832968">{{cite journal| author=Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M et al.| title=Clinical practice guideline (update): adult sinusitis. | journal=Otolaryngol Head Neck Surg | year= 2015 | volume= 152 | issue= 2 Suppl | pages= S1-S39 | pmid=25832968 | doi=10.1177/0194599815572097 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25832968 }} </ref> | |||
*[[Allergic rhinitis]] | *[[Allergic rhinitis]] | ||
*Eosinophilic nonallergic rhinitis | *Eosinophilic nonallergic rhinitis | ||
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*Nasal foreign body | *Nasal foreign body | ||
*Gastroesophageal reflux | *Gastroesophageal reflux | ||
* | *Asthma | ||
* | *Cerebrospinal fluid rhinorrhea | ||
*Benign and malignant sinonasal neoplasia | *Benign and malignant sinonasal neoplasia | ||
Revision as of 16:23, 3 December 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Rhinosinusitis must be differentiated from other diseases that may present with a headache and/or respiratory symptoms.
Differential Diagnosis
Acute rhinosinusitis
Acute rhinosinusitis must be differentiated from:
- Allergic rhinitis
- Headaches and midfacial pain syndromes: migraine, tension-type headache, cluster headache, paroxysmal hemicrania, atypical facial pain and midfacial segment pain
- Orofacial pain syndromes (e.g. temporomandibular disorders)
- Dental disease
- Chronic fatigue syndrome
Chronic rhinosinusitis
Chronic rhinosinusitis must be differentiated from:[1][2][3]
- Allergic rhinitis
- Eosinophilic nonallergic rhinitis
- Vasomotor rhinitis
- Migraine
- Tension headache
- Vascular headaches
- Temporal arteritis
- Nasal foreign body
- Gastroesophageal reflux
- Asthma
- Cerebrospinal fluid rhinorrhea
- Benign and malignant sinonasal neoplasia
| Disease | History | Physical examination | Laboratory or radiological findings |
|---|---|---|---|
| Acute viral nasopharyngitis[4] |
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| Allergic rhinitis[5] |
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| Acute sinusitis[7] |
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| Infectious mononucleosis[9] |
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References
- ↑ Slavin RG, Spector SL, Bernstein IL, Kaliner MA, Kennedy DW, Virant FS; et al. (2005). "The diagnosis and management of sinusitis: a practice parameter update". J Allergy Clin Immunol. 116 (6 Suppl): S13–47. PMID 16416688.
- ↑ Fagnan LJ (1998). "Acute sinusitis: a cost-effective approach to diagnosis and treatment". Am Fam Physician. 58 (8): 1795–802, 805–6. PMID 9835855.
- ↑ Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M; et al. (2015). "Clinical practice guideline (update): adult sinusitis". Otolaryngol Head Neck Surg. 152 (2 Suppl): S1–S39. doi:10.1177/0194599815572097. PMID 25832968.
- ↑ Heikkinen T, Järvinen A (2003). "The common cold". Lancet. 361 (9351): 51–9. doi:10.1016/S0140-6736(03)12162-9. PMID 12517470.
- ↑ Pawankar R, Bunnag C, Chen Y, Fukuda T, Kim YY, Le LT, Huong le TT, O'Hehir RE, Ohta K, Vichyanond P, Wang DY, Zhong N, Khaltaev N, Bousquet J (2009). "Allergic rhinitis and its impact on asthma update (ARIA 2008)--western and Asian-Pacific perspective". Asian Pac. J. Allergy Immunol. 27 (4): 237–43. PMID 20232579.
- ↑ Skoner DP (2001). "Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis". J. Allergy Clin. Immunol. 108 (1 Suppl): S2–8. PMID 11449200.
- ↑ Low DE, Desrosiers M, McSherry J, Garber G, Williams JW, Remy H, Fenton RS, Forte V, Balter M, Rotstein C, Craft C, Dubois J, Harding G, Schloss M, Miller M, McIvor RA, Davidson RJ (1997). "A practical guide for the diagnosis and treatment of acute sinusitis". CMAJ. 156 Suppl 6: S1–14. PMID 9347786.
- ↑ "Acute maxillary sinusitis". N. Engl. J. Med. 305 (4): 226–7. 1981. doi:10.1056/NEJM198107233050419. PMID 7242607.
- ↑ Niederman JC, McCollum RW, Henle G, Henle W (1968). "Infectious mononucleosis. Clinical manifestations in relation to EB virus antibodies". JAMA. 203 (3): 205–9. PMID 4864269.