U.S News. & World Report: Is it allergies or sinusitis? Many folks are misdiagnosed
UC research offers hope for more accurate diagnoses and more effective treatment
New research out of UC examines the incidence of people who are being treated for allergies when they actually have chronic rhinosinusitis (CRS), and the medicines they are taking for their allergy symptoms have little effect. U.S. News & World Report published a report on the research, interviewing the lead author Ahmad Sedaghat, MD, PhD, of the UC College of Medicine.
“We have seen so many patients suffer for so long due to the confusion between allergies and CRS,” said Sedaghat. “I’ve had patients who tell me that they have been treated with allergy shots for 10, 20 or more years without relief of their symptoms but who after we discovered they had CRS and we started them on appropriate treatment, achieved relief within a few months."
Ahmad Sedaghat, MD, PhD, professor of Otolaryngology, Head & Neck Surgery at the UC College of Medicine/Photo/Colleen Kelley/UC Marketing + Brand
CRS affects almost 15% of Americans, according to Sedaghat. The condition is typically treated with antibiotics.
The trouble is, the outward signs of sinusitis can mimic those of a nasal allergy.
“As someone who grew up in [the Midwest], I can attest to how commonly we tend to attribute sinus and nasal symptoms to ‘allergies,'" Sedaghat said. "But the reason for this is that nasal allergies [allergic rhinitis] and CRS have overlapping symptomatology, often characterized by nasal blockage and nasal drainage. Both can also cause sinus pressure."
The treatment for CRS and nasal allergies is very different, however, which means that misdiagnosis can lead to months or years of needless misery.
The new study involved 219 people who'd been thought to have nasal allergies. Each underwent nasal endoscopy and testing to gauge the severity and type of their sinus/nasal symptoms.
“We specifically used this questionnaire to study our patients’ symptoms because we could simultaneously measure symptoms of CRS and allergic rhinitis without having to use different questionnaires,” Sedaghat explained.
A majority (91.5%) did have some form of environmental allergy, testing revealed.
Read more about Sedaghat's research here.
Lead photo/iStock
Next Lives Here
The University of Cincinnati is classified as a Research 1 institution by the Carnegie Commission and is ranked in the National Science Foundation's Top-35 public research universities. UC's graduate students and faculty investigate problems and innovate solutions with real-world impact. Next Lives Here.
Related Stories
WVXU: UC study tests tongue exercises to improve swallowing function after stroke
January 11, 2024
WVXU highlighted a new trial at the University of Cincinnati that will test an at-home tongue endurance exercise to improve patients’ swallowing function after a stroke.
WVXU: HEPA purifiers for indoor gatherings could prevent COVID-19 infections
June 21, 2021
University of Cincinnati ear, nose and throat expert Ahmad Sedaghat, MD, PhD, says investing in an HEPA air purifier might be a good idea as residents open their homes to gatherings as COVID-19 restrictions ease. Air purifiers with HEPA filters can be used as a very effective means to decontaminate the air above and beyond what many HVAC systems may offer, says Sedaghat, director of the UC Division of Rhinology, Allergy and Anterior Skull Base Surgery.
UPI: Study: Food texture fills in during loss of smell, taste after COVID-19
October 28, 2021
The UPI posted a story about research led by Katie Phillips, MD, assistant professor in the Department of Otolaryngology, Head & Neck Surgery at the UC College of Medicine on coping mechanisms for people who have had a diminished or lost sense of smell from COVID-19. Two of the common adaptations among patients she saw at her clinic were incorporating texture and temperature into their food and drink.