International Forum of Allergy and Rhinology “Case of the Month”

We are pleased to bring you this new online educational series of case-based activities, focusing on health issues related to allergy, rhinology and otolaryngology.

They are completely free to access (registration required).

A new case will be presented each month during 2017. The format of each case will be as follows:

  • Read about the case study, beginning with a patient history
  • View an image gallery relating to the case, for further examination
  • What’s your diagnosis? Choose from several options and gain feedback on your choice.
  • What’s your next step? Once the correct diagnosis is selected, select the best possible treatment option and gain further feedback
  • What’s the most appropriate surgical approach? Once the most appropriate treatment is selected, choose from several options and gain feedback
  • Where possible, watch a video of the surgical procedure to gain invaluable insight for providing the best treatment

Please see the course below for an example of the courses you will encounter on the learning site, please click here to register to view and participate in the full course. Registration is free and required to view all available cases.

You will be able to:

  • Register an account and login, for free, so that you can receive invaluable guidance on the latest tests and treatments
  • Save your progress for future reference and learning
  • Send questions to experts for additional, detailed feedback

The courses are brought to you by International Forum of Allergy & Rhinology, the official journal of the American Rhinologic Society (ARS) and the American Academy of Otolaryngic Allergy (AAOS), which is published by Wiley.

Case of the Month Editor: Benjamin S. Bleier, M.D., Harvard Medical School

* Dr. Bleier is a consultant for Olympus, Canon, and Karl Storz and has an equity relationship with Interscope



Case: December 2017

A 3-month-old, otherwise healthy girl was referred from an outside hospital for further evaluation of bilateral epiphora and dacryocystitis. She had undergone 2 prior probing attempts, in…

Discuss case here.


Case: November 2017

A 37-year-old woman presented to an endocrinologist with chronic daily headache and hyperprolactinemia. The patient reported a several-month history of bifrontal headache…

Discuss case here.


Case: October 2017

A 10-year-old otherwise healthy male presents with left facial bulging, left nasal airway obstruction, and recurrent left epistaxis. He has no other medical or surgical history,…

Discuss case here.


Case: September 2017

A 45-year-old male presented with recurrent pain and pressure along the right frontoethmoid region 15 years after right-sided endoscopic sinus surgery for an obstructing right frontal osteoma.

Discuss case here.


Case: August 2017

A 29-year-old male presented with vision changes for the last 2 to 3 months. The patient complains of throbbing, bifrontal headaches since childhood but notes an increased frequency with a…

Discuss case here.


Case: July 2017

An 82-year-old woman presented with a 6-month history of left maxillary pain, left-sided nasal congestion, thick drainage, and epiphora. She had no preexisting history of sinonasal complaints…

Discuss case here.


Case: June 2017

A 40-year-old male patient with history of surgery for nasal polyposis. Patient had eye swelling following his surgery elsewhere 2 years ago. Patient was referred for persistent…

Discuss case here.


Case: May 2017

A 23-year-old woman with intermittent asthma presents with 4 weeks of clear rhinorrhea, facial pressure, and intermittent sneezing. Her symptoms are year-round, but are exacerbated…

Discuss case here.


Case: April 2017

A 52-year-old man presents with a history of fungal sinusitis and nasal polyps that are repeatedly refractory to medical therapy, including oral and topical steroids, antibiotics, and antifungal…

Discuss case here.


Case: March 2017

A 37-year-old woman with chronic rhinosinusitis with nasal polyposis (CRSwNP) after sinus surgery. Associated reactive airway disease with 2 emergency department presentations for acute…

Discuss case here.


Case: February 2017

A 54 year old man with worsening left orbital proptosis following a motor vehicle accident that occurred 25 years ago and resulted in extensive facial fractures. The patient recently…

Discuss case here.


Case: January 2017

A 46-year-old female with a history of chronic rhinosinusitis presents 3 months after an endoscopic sinus surgery performed by an outside ENT. The patient complains of chronic…

Discuss case here.


Interested in becoming a “Case of the Month” author?

Click here to download our “Case of the Month” Author Guidelines

Contact Us

Benjamin S. Bleier, M.D.
Editor, Case of the Month