[PAGID] Chronic rhinosinusitis in antibody deficiency diseases

[Ashish Kumar]

The mother of one one of my patients with XLA does not want to use 
prolonged antibiotics for the management of his chronic rhinosinusitis. 
His symptoms disappear while on he is on Augmentin but reappear when 
stopped. Has anyone tried nasal steroids alone or in combination with 
antibiotics/higher dose of IVIG successfully?
Is there published consensus on the appropriate management of chronic 
rhinosinusitis in patients with antibody deficiency diseases - most of 
what I found suggest that there is none. Maybe an opportunity for a 
collaborative group trial?

-- 
Ashish Kumar, MD, PhD
Assistant Professor of Pediatrics
Division of Hematology/Oncology/Blood and Marrow Transplantation
University of Minnesota

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