Allergic fungal sinusitis (AFS) is the most common type of fungal sinus infection. AFS is a robust allergic reaction to inhaled soil fungi that causes sinus inflammation, and the fungal debris then accumulates in the sinus cavities. This accumulation can cause nasal polyps, facial pain and pressure, bone remodeling of the face, and even bone erosion, which can cause damage to the eyes and brain. AFS can also cause thick, sticky nasal mucus and postnasal drip, and it can affect the sense of smell. Most patients with AFS are adolescents who also have chronic symptoms of allergic rhinitis and asthma. Endoscopic sinus surgery to remove the disease and open the sinus cavities is the main treatment approach. Adjuvant immunotherapy is helpful in reducing the inflammatory response and preventing future recurrence of this allergy-mediated condition. [Pediatr Ann. 2021;50(7):e297-e303.].

中文翻译：

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小儿过敏性真菌性鼻窦炎：临床回顾。

过敏性真菌性鼻窦炎 (AFS) 是最常见的真菌性鼻窦感染类型。AFS 是对吸入土壤真菌的强烈过敏反应，会导致鼻窦炎症，然后真菌碎片积聚在鼻窦腔中。这种堆积会导致鼻息肉、面部疼痛和压力、面部骨骼重塑，甚至骨质侵蚀，这会对眼睛和大脑造成损害。AFS 还会导致粘稠的鼻粘液和鼻后滴漏，并会影响嗅觉。大多数 AFS 患者是青少年，他们也有过敏性鼻炎和哮喘的慢性症状。鼻内窥镜手术切除疾病并打开鼻窦腔是主要的治疗方法。辅助免疫疗法有助于减少炎症反应并防止这种过敏介导的疾病在未来复发。[小儿安。2021;50(7):e297-e303.]。