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.
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.
Kennedy DW. A 48-Year-Old Man With Recurrent Sinusitis. JAMA. 2000;283(16):2143-2150. doi:10.1001/jama.283.16.2143