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Types of chronic rhinosinusitis

Types of chronic rhinosinusitis
Features AFRS CRS with NP CRS without NP
Bilateral nasal polyps Yes (in most cases) Yes - Required for diagnosis* No - Exclusion of polyps is required for diagnosis
Allergic mucin Yes - Required for diagnosis May be present May be present
Aspirin-associated respiratory disease May be present

Asthma present in approximately 40%

Aspirin intolerance and asthma present in approximately 15%
Rare
Evidence of IgE-mediated allergy to fungi Yes - Required for diagnosis May be present May be present
AFRS: allergic fungal rhinosinusitis; CRS: chronic rhinosinusitis; NP: nasal polyposis; IgE: immunoglobulin E.
* Medical records documenting removal of bilateral NP during surgery would satisfy this requirement.
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