ALLERGIC FUNGAL SINUSITIS = A TYPE I HYPERSENSITIVITY RXN CALCIUM PHOSPHATE CRYSTALS/FE++/MG++/MN  WITH INCREASED HOUNDSFIELD UNITS ON CT—CHARACTERISTIC HETEROGENOUS OPACIFICATIONS (Mangensese) BIOPSY — ONOIN SKIN LESIONS ON H & E CHARACTERISTIC ALLERGIC MUCIN INSPISSATED MUCOUS(LIKE GREEN PEANUT BUTTER)—SNOTOMA—NOT INVASIVE CHARCOT-LAYDEN CRYSTALS–EOSINOPHILIC INFILTRATE GOMORI METHENAMINE SILVER (GMS) STAIN WITH MUCIN + CHONDROID MATERIAL OFTEN ASSOC POLYPOSIS ALLERGIC FUNGAL SINUSITIS/ALLERGIC SINONASAL ASPERGILLOSIS–OTHERWISE HEALTHY HOST Rx FOR AFS = DEBRIDEMENT/HTSI/TOPICAL AND SYSTEMIC STEROIDS/DIFLUCAN/ITRACONAZOLE BRANCHING(45 DEGREES), SEPTATE HYPHAE “A” Rx : DEBRIDEMENT AND AMPHO B, ALLERGEN SPECIFIC IMMUNOTHERAPY