This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Jordan C. Stern, MD; Pi-Tang Lin, MD; Frank E. Lucente, MD

Arch Otolaryngol Head Neck Surg. 1990;116(2):206-208.

Abstract
• Manifestations of the acquired immunodeficiency syndrome are common in the head and neck and are becoming well known to the otolaryngologist. We present a series of seven patients who complained of nasal obstruction and hearing loss and were found, on examination, to have large obstructing nasopharyngeal masses and otitis media with effusion. Biopsy revealed benign lymphoid proliferation. Because of a suspicion of human immunodeficiency virus infection by history, antibody titers were obtained and were found to be positive in all cases. With the known increased rate of aggressive extranodal B-cell lymphomas in human immunodeficiency virus-infected patients, its existence in the nasopharynx should be ruled out histologically in symptomatic patients. Nasal obstruction and hearing loss secondary to nasopharyngeal lymphoid proliferation in high-risk patients can be an early sign of human immunodeficiency virus infection. Patients presenting with this clinical entity should be advised to have serologic testing and further treatment and counseling if necessary.

(Arch Otolaryngol Head Neck Surg. 1990;116:206-208)

Author Affiliations
From the Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York (NY) Medical College.

Footnotes
Accepted for publication February 20, 1989.

Presented in part as a poster at the Second International Conference on Head and Neck Cancer, Boston, Mass, August 5, 1988.

Reprint requests to 310 E 14th St, New York, NY 10003 (Dr Stern).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?