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Likvorläckage viktig differentialdiagnos vid långvarigt rinnande näsa
Engelsk titel: CSF rhinorrhea is an important differential diagnosis for patients with long-lasting runny nose Läs online Författare: Michaëlsson, Isak ; Bergquist, Henrik ; Skoglund, Thomas Språk: Swe Antal referenser: 6 Dokumenttyp: Fallbeskrivning UI-nummer: 19010142

Tidskrift

Läkartidningen 2018;115(44-45)1816-7 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

CSF rhinorrhea is a rare cause of runny nose that should be considered as a differential diagnosis when dealing with patients with long-lasting problems. Symptoms that should raise the suspicion of CSF rhinorrhea include long-lasting, unilateral, clear, watery discharge that does not respond to treatment with antihistamines, vasoconstrictors or nasal steroids. Beta-trace protein or beta-2 transferrin assay is the best laboratory test for diagnosing CSF rhinorrhea. Identified CSF rhinorrhea should prompt a referral to a neurosurgeon or to an ENT surgeon with special interest in the field.