Document Detail

Significance of blood-tinged post-nasal drip in paranasal sinus disease.
MedLine Citation:
PMID:  17888198     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Blood-tinged post-nasal drip is a rare manifestation of paranasal sinus disease. Although the presence of such a symptom would intuitively prompt suspicion of malignancy, no previously published study has addressed this issue. METHODS: One hundred and ninety-three patients with paranasal sinus lesions, who had undergone endoscopic sinus surgery for treatment or biopsy, were prospectively recruited. Their clinical information was collected and analysed. RESULTS: In patients without blood-tinged post-nasal drip, 177/181 (97.8 per cent) had chronic paranasal sinusitis and fungal sinusitis. However, in patients who presented with this symptom, six of 12 (50 per cent) were diagnosed with other conditions. The difference was statistically significant (Fisher's exact test, two tails, p < 0.001). In patients with blood-tinged post-nasal drip, diagnoses other than chronic paranasal sinusitis and fungal sinusitis were found more frequently in older males. CONCLUSION: The chance of diagnoses other than the usual sinusitis increased significantly in patients with paranasal sinus diseases who presented with blood-tinged post-nasal drip, especially in older males.
T-K Chao; C-M Liu; W-H Huang
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Publication Detail:
Type:  Journal Article     Date:  2007-09-21
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  122     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-17     Completed Date:  2008-09-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  814-7     Citation Subset:  AIM; IM    
Department of Otolaryngology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan.
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MeSH Terms
Chronic Disease
Diagnosis, Differential
Exudates and Transudates
Hemorrhage / etiology*
Melanoma / complications,  radiography
Middle Aged
Mycoses / complications,  radiography
Paranasal Sinus Diseases / complications*,  microbiology
Paranasal Sinus Neoplasms / complications,  radiography
Paranasal Sinuses / radiography
Prospective Studies
Tomography, X-Ray Computed

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