title: [Evaluation of acute bacterial rhinosinusitis in asthma patients based on clinical parameters and imaging studies, together with ear, nose and throat examination].
abstract: OBJECTIVE
  To evaluate paranasal sinuses in patients with stable or acute asthma in order to determine the prevalence of acute bacterial rhinosinusitis.
  
  
  METHODS
  A cross-sectional study including 30 patients with acute asthma (73% females) treated in the emergency room and 30 patients with stable asthma (80% females) regularly monitored as outpatients. All patients completed a questionnaire on respiratory signs and symptoms and were submitted to ear, nose and throat (ENT) examination, as well as to X-ray and computed tomography (CT) imaging of the sinuses.
  
  
  RESULTS
  Based on the clinical diagnosis, the prevalence of acute bacterial rhinosinusitis was 40% in the patients with acute asthma and 3% in those with stable asthma. The ENT examination findings and the imaging findings in isolation were not useful to confirm the diagnosis.
  
  
  CONCLUSIONS
  In themselves, ENT examination findings, X-ray findings and CT findings were not useful for the diagnosis of acute bacterial rhinosinusitis. Our results provide further evidence that a clinical diagnosis of bacterial rhinosinusitis should be made with caution.
authors.affiliation: Departamento de Medicina, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Alecsandra Calil Moises
authors.initials: AC
authors.lastname: Faure
authors.forename: Ilka Lopes
authors.initials: IL
authors.lastname: Santoro
authors.forename: Luc Louis Maurice
authors.initials: LL
authors.lastname: Weckx
authors.forename: Henrique Manoel
authors.initials: HM
authors.lastname: Lederman
authors.forename: Artur da Rocha Correa
authors.initials: Ada R
authors.lastname: Fernandes
authors.forename: Ana Luisa Godoy
authors.initials: AL
authors.lastname: Fernandes
mesh_terms: D000208:Acute Disease; D001249:Asthma / Q000000981:diagnostic imaging / Q000453:epidemiology*; D004423:Ear / Q000000981:diagnostic imaging; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000000981:diagnostic imaging; D010614:Pharynx / Q000000981:diagnostic imaging; D010808:Physical Examination; D012220:Rhinitis / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000382:microbiology; D012852:Sinusitis / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000382:microbiology; D014057:Tomography, X-Ray Computed / Q000592:standards