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BMJ. 1995 July 22; 311(6999): 233–236.
PMCID: PMC2550286

Predicting acute maxillary sinusitis in a general practice population.

Abstract

OBJECTIVE--To evaluate the diagnostic value of symptoms, signs, erythrocyte sedimentation rate, and C reactive protein for acute maxillary sinusitis. DESIGN--Prospective cohort study. SETTING--Danish general practice in cooperation with the otorhinolaryngology and neuroradiology department at Aalborg County Hospital. SUBJECTS--174 patients aged 18-65 years who were suspected by the general practitioner of having acute maxillary sinusitis. MAIN OUTCOME MEASURE--The independent association of symptoms, signs, erythrocyte sedimentation rate, and concentration of C reactive protein in patients with acute maxillary sinusitis defined as purulent or mucopurulent antral aspirate. RESULTS--Only raised erythrocyte sedimentation rate (P = 0.01) and raised C reactive protein (P = 0.007) were found to be independently associated with a diagnosis of acute maxillary sinusitis. The combination of the two variables had a sensitivity of 0.82 and a specificity of 0.57. CONCLUSION--Erythrocyte sedimentation rate and C reactive protein are useful diagnostic criteria for acute maxillary sinusitis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Williams JW, Jr, Simel DL, Roberts L, Samsa GP. Clinical evaluation for sinusitis. Making the diagnosis by history and physical examination. Ann Intern Med. 1992 Nov 1;117(9):705–710. [PubMed]
  • van Duijn NP, Brouwer HJ, Lamberts H. Use of symptoms and signs to diagnose maxillary sinusitis in general practice: comparison with ultrasonography. BMJ. 1992 Sep 19;305(6855):684–687. [PMC free article] [PubMed]
  • Berg O, Carenfelt C. Analysis of symptoms and clinical signs in the maxillary sinus empyema. Acta Otolaryngol. 1988 Mar-Apr;105(3-4):343–349. [PubMed]
  • Druce HM. Diagnosis of sinusitis in adults: history, physical examination, nasal cytology, echo, and rhinoscope. J Allergy Clin Immunol. 1992 Sep;90(3 Pt 2):436–441. [PubMed]
  • Berg O, Bergstedt H, Carenfelt C, Lind MG, Perols O. Discrimination of purulent from nonpurulent maxillary sinusitis. Clinical and radiographic diagnosis. Ann Otol Rhinol Laryngol. 1981 May-Jun;90(3 Pt 1):272–275. [PubMed]
  • Berg O, Carenfelt C. Etiological diagnosis in sinusitis: ultrasonography as clinical complement. Laryngoscope. 1985 Jul;95(7 Pt 1):851–853. [PubMed]
  • Axelsson A, Runze U. Symptoms and signs of acute maxillary sinusitis. ORL J Otorhinolaryngol Relat Spec. 1976;38(5):298–308. [PubMed]
  • Kay NJ, Setia RN, Stone J. Relevance of conventional radiography in indicating maxillary antral lavage. Ann Otol Rhinol Laryngol. 1984 Jan-Feb;93(1 Pt 1):37–38. [PubMed]
  • Unger JM, Shaffer K, Duncavage JA. Computed tomography in nasal and paranasal sinus disease. Laryngoscope. 1984 Oct;94(10):1319–1324. [PubMed]
  • Flinn J, Chapman ME, Wightman AJ, Maran AG. A prospective analysis of incidental paranasal sinus abnormalities on CT head scans. Clin Otolaryngol Allied Sci. 1994 Aug;19(4):287–289. [PubMed]
  • Antila J, Sonninen P, Grenman R. MRI and plain radiographics in acute frontal sinus infections. Rhinology. 1993 Dec;31(4):145–149. [PubMed]
  • Bro F, Mabeck CE. Behandling af infektionssygdomme i almen praksis med antibakterielle laegemidler. Ugeskr Laeger. 1986 Sep 29;148(40):2540–2543. [PubMed]
  • Hansen JG, Schmidt H. Danske praktiserende laegers diagnosticering og behandling af sinuitis acuta. Ugeskr Laeger. 1994 Mar 28;156(13):1934–1940. [PubMed]
  • Lindbaek M, Hjortdahl P. Sinusitt i allmennpraksis--en diagnostisk utfordring. Tidsskr Nor Laegeforen. 1993 Feb 28;113(6):700–703. [PubMed]
  • Hjortdahl P, Landaas S, Urdal P, Steinbakk M, Fuglerud P, Nygaard B. C-reactive protein: a new rapid assay for managing infectious disease in primary health care. Scand J Prim Health Care. 1991 Mar;9(1):3–10. [PubMed]

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