Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
To the Editor: The Clinical Crossroads article1 describing care of a patient with recurrent sinusitis
presents a common clinical scenario. Unfortunately, this article also documents
a common historical course of these patients: repeated medical management,
followed by a surgical recommendation, all without a confirmed diagnosis.
Mr S reports 21 years of "recurrent sinusitis." The presentation describes
monthly autumn and winter episodes, which are treated with multiple medications
that do not work very quickly. However, we do not know the duration of these
episodes or how soon he received antibiotics. Unfortunately, patients often
receive antibiotics early in a viral illness and improve in 7 days, while
others acquire a diagnosis of "recurrent sinusitis" without radiographic confirmation.
Levinson SR. Diagnosis and Treatment of Recurrent Sinusitis. JAMA. 2000;284(10):1240. doi:10.1001/jama.284.10.1239