Dr Andrew Baker - Immunologist and Allergy Specialist - North Shore Auckland

Sinusitis/Nasal Polyps/Asthma/Aspirin Sensitivity

Samters triad - Aspirin Exacerbated Respiratory Disease (AERD)

Some people develop a running, blocked nose in early adult life that may progress to asthma and sinusitis.  Some of these people turn out to have nasal polyps.  This is known as Samter's triad.

The complete combination is:

• rhinitis (constant or frequent running nose)
• asthma
• nasal polyps (and sinusitis)
• aspirin or anti-inflammatory (NSAID) sensitivity.

Click here for an article on Samters triad that I have written for Allergy New Zealand.

Treatment of Samters triad can be started with nasal sprays, sinus rinses however many people require surgery such as polypectomy.

Furthermore, some people with these symptoms can have adverse reactions when they take aspirin or anti-inflammatories. 

Aspirin desensitisation is an important treatment in this scenario.

Aspirin desensitisation has the following benefits:

• improved asthma symptoms
• fewer episodes of sinusitis
• slower polyp regrowth (from average 3 years to 10 years)
• less steroid medication required.
• fewer hospitalisations.

Click here for more information on our Asthma Allergy Rhinitis North Shore Auckland Clinic.

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