Dykewicz and Hamilos reported criteria for recurrent acute rhinosinusitis. The authors are from Wake Forest University and Massachusetts General Hospital.


Clinical findings in recurrent acute rhinosinusitis - all of the following:

(1) recurrent episodes of acute rhinosinusitis 4 or more times per year

(2) normal upper respiratory findings between episodes

(3) 3 or 4 of the following clinical findings:

(3a) mucopurulent drainage, anterior and/or posterior

(3b) nasal congestion

(3c) facial pressure and/or facial pain

(3d) decreased sense of smell


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