We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Computed Tomography to Evaluate Chronic Sinusitis

Ralph Metson, MD; Richard E. Gliklich, MD
JAMA. 1994;272(11):852. doi:10.1001/jama.1994.03520110029021.
Text Size: A A A
Published online


To the Editor.  —The recent article by Dr Newman and associates1 demonstrated a strong correlation between extensive sinus disease on CT scan and peripheral eosinophilia. This relationship was highly significant even in patients without a history of wheezing or specific IgE antibodies. They suggested that sinus inflammation, rather than asthma or allergy, is the stimulus for the eosinophilia.We have observed an interesting relationship between peripheral eosinophilia and chronic sinusitis in patients with nasal polyps. The Figure demonstrates monthly eosinophil counts in a 47-year-old man with nasal polyposis and asthma. These counts dropped dramatically when the polyp load was reduced by either surgical polypectomy or a methylprednisolone bolus of 20 mg per day for 2 weeks with a 2-week taper. A rebound in eosinophil counts was observed following both surgical and medical therapies, corresponding to a recurrence of the polyps on clinical examination.Newman et al did not report


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.