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476 A Case Report of Kartagener’S Syndrome Associated with Nasal Polyps
  1. S Asilsoy1,
  2. C Ozer2
  1. 1Pediatric Allergy
  2. 2Otolaringology, Baskent Universitesi, Adana, Turkey

Abstract

Nasal polyps are benign nasal masses that can cause nasal obstruction, headache and snoring. The overall incidence or prevalence of nasal polyposis is unknown. They are diagnosed more frequently in men and during the third and fourth decades of life. Nasal polyps are rare in children. Most clinical data indicate that there is no greater prevalence of nasal polyps among atopic compared with normal populations.

A 14-year-old male patient was referred by an otolaryngologist to investigate the cause of nasal polyposis. There were otitis media, sinusitis and bronchial asthma to patient’s history therefore he used inhale corticosteroid for control long term asthma, sometimes bronchodilatator to asthma attack and antibiotic treatment for sinusitis. No family member had similar respiratory complaints or any significant systemic illness.

His physical examination was found above 97% for weight and height difficulty breathing through nose, bilateral nasal polyposis, rarely sibilan ronchi on pulmonary auscultation and his heart sound was heard deeply. Laboratory findings; Hemogram was normal, IgA:189mg/dl, IgE 203 IU/L, inhalen sIgE and epidermal prick test were negative, Chest X-Ray showed dextocardia, A computed tomograph scan of the chest showed situs inversus with lateral segment of right middle lobe tubular bronchiectasis, peribronchial thickening and atelectasis, the right lower lobe tubular bronchiectasis. Pulmonary function testing demonstrated a mixed obstructive and restrictive pattern.

The pathogonomic findings of Kartagener Syndrome are dextrocardia, bronchiectasis and sinusitis. His findings were consistent with Kartagener Syndrome. This patient were presented due to nasal polyposis associated with Kartagener Syndrome and delayed diagnosis.

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