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Clinical Crossroads
April 26, 2000

A 48-Year-Old Man With Recurrent Sinusitis

Author Affiliations

Author Affiliation: Dr Kennedy is Professor and Chair of the Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia.


Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.

JAMA. 2000;283(16):2143-2150. doi:10.1001/jama.283.16.2143

DR PARKER: Mr S is a 48-year-old businessman plagued by recurrent sinusitis for the last 21 years. Frequent infections interfere with his quality of life. He resides near Boston and is covered by commercial insurance.

Mr S first experienced allergies and sinus infections when he moved to Oregon 21 years ago. After monthly episodes of sinusitis for more than a year, he underwent septoplasty, cauterization, and creation of "surgical windows" for improved drainage. He remained free of sinus infections for 1 year. Mr S then noted a pattern of sinus infections starting in the fall and lasting through the early spring. This coincided with his seasonal allergies, and he has received 4 series of allergy shots.

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