Join Our Community!
Share
Conditions and Diseases > Allergies Forum > Samter's Triad Syndrome (Page 1)
What causes allergies? We review risk factors and common allergens in this intro to allergies section....
Which allergy symptoms are serious signs of allergic reaction and which are merely bothersome? Common types of allergy symptoms and allergic reactions here....
Avatar
Q: Samter's Triad Syndrome
asked by: gypsymouse on February 12th, 2009
New User
I'm new to this forum, and new to my diagnosis of Samter's Triad Syndrome. I'm hoping there are others on the board with Samter's who can share their treatment stories - especially the successful ones! Here's mine:

I developed adult onset asthma at 20, was hospitalized and had several ER visits in the early days, but for the last several years my asthma has been very well controlled and seldom bothers me much.

Since childhood I have had severe allergies to many medications, icluding antibiotics such as penecillin and sulfa.

I have been on immunotherapy for seasonal and environmental allergies for the last 3 years. First year 4 shots a week, currently at mainenance of 2 shots a month.

I have had chronic congestion and sinus infections for years and finally had sinus surgery 2 years ago for polyps/septum/turbinates.

A year and a half ago I started having unidentified allergic reactions. I thought they were some kind of environmental allergen break through, but after having several, some quite severe (throat/ear itching, swelling, and asthma attack) my allergist and I were able to determine that I was reacting to the ibuprofen I was taking for sinus and back pain. I often took it at the same time as an antihistimine for other allergies, which masked the reaction somewhat and made it more difficult to conclude the culprit. Needless to say, I have not had any of these attacks since discontinuing use of aspirin related products, though I have reacted to red wine.

So now I am a triad patient. My lates CT shows that the polyps are back with significant thickening of the mucosal membranes and I recently spent 4 months on antibiotics for sinus infection. Becuase of the NSAID allergy I cannot effectively treat my sinus pain. The pain is the hardest parts for me. It makes it hard to do my job and to be a mom and a wife. When I am on a steroid burst and for a while following I can smell Smile and taste my food, but not the rest of the time. Occasionally I don't have ringing in my ears, but most of the time I do. I always feel like I'm wearing a heavy mask and sometimes the pain is just awful. I get tonsil stones and sore throats from the post nasal drip. It takes up to a week for my ears to "open" after flying or driving over the mountains, if they do at all. I am frequently dizzy and sometimes get vertigo.

It sucks.

I'm scheduled for consultation on aspirin desensitization at National Jewish next month. I have high hopes for this as I have heard that it really reduces the recurrance of polyps and congestion. If it goes well and some of the swelling abates I won't have to have a second surgery just yet. If not I'll be back on the table with the halo screwed to my head for round 2.

What are you doing as part of your Samter's treatment?
Did you find this post useful?
|
Replies(38)
Avatar
bluedaisy
replied on February 22nd, 2009
New User
samters triad
hi gypsymouse

i have the exact same symptoms as you and they drive me insane, I am interested to know how you get on with your treatment.

please keep in touch and ggod luck xxx
Did you find this post useful?
|
Avatar
findmyownanswers
replied on February 24th, 2009
New User
searching for answers
I have been suffering from Samter's triad for 10 years now and have had four surgeries. My condition seems to be comorbid and am wondering if anyone else with Samter's triad suffers from a thyroid disorder or pituitary tumor. I've decided to take some matters into my own hands since most doctors I deal with do not seem to know much about this disorder.
Did you find this post useful?
|
Avatar
gypsymouse
replied on February 24th, 2009
New User
Samter's
Findmyownanswers - do you see and allergist as well as an ENT? It was my allergist who is encouraging the aspirin desensitization and I have heard it can really reduce the need for additional surgeries. My father is also a Sampter's Triad patient and was referred by his ENT for the same treatment. His ENT is also trying a new method for sinus treatment - they use Pulmicort Resipules (nebulizer asthma steroid treatment) in his nasal wash rather than a steroid nasal spray. He claims that this is really helpful. My doctors are not familiar with that use and so have not prescribed it, but they did express interest. I think it likely that Sampter's is comorbid with other auto-immune and inflammatory disorders, but haven't seen any research on the subject.
Did you find this post useful?
|
Avatar
bluedaisy
replied on February 25th, 2009
New User
have had aspirin triad for 20 years, I first noticed an aspirin allergy around the age of 17, I was experiencing angiodema at the time and it took some time before I came to realise that it the angiodema was caused by aspirin.

It is important for me to mention to you that the angiodema did not occur immediately after taking the aspirin but over the course of 12-24 hours.

The angiodema then took around 48 hours to disappear. It usually occured in the thumb, spreading to the hands and then up the arm to the elbow area before it began to reduce. However , the swellings would also occur in the side of my hip, back of the legs, tongue, lips. I am assuming that it could flare up anywhere really.

Years later around the age of 27 I discovered I had a really bad reaction to NSAIDS I took a Nurofen pill for a headache and my nasal pssages swelled aggressively. Around this time I also developed bronchitis and have suffered with asthma ever since. It was also around this time that I began to lose my sense of smell.

Now at the age of 37, I have huge nasal polyps which have been confirmed by scan. I have absolutely no sense of smell or taste, except on rare occasions where it suddenly comes back for a few days with no explanation or obvious cause. I have allergy to aspirin and NSAIDS and I am not to keen on taking paracetamol either as they seem to irritate my airways. I have continual asthma.

The nasal polyps are keeping me awake at night as I cannot breathe and Im sure you are well aware of the general discomfort I am suffering all the time with this disease.

My question is, do you think I would be a suitable candidate for aspirin desensitization?

I am concerned because of the angiodema symptoms, I feel a great anxiety towards taking an aspirin which may potentially kill me. However, I really want the nasal polyps to disappear I want to be able to smell and taste again.
Did you find this post useful?
|
Avatar
bluedaisy
replied on February 25th, 2009
New User
I cant seem to find any help anywhere with this....my doctor has no idea what samters triad is....?????
Did you find this post useful?
|
Avatar
rebeebit
replied on March 3rd, 2009
New User
Samter's Yahoo Group
Those of you with Samter's should join the yahoo group at the link below. It's been very helpful for me to find more information about Samter's, and to know that there are other people out there (lots, in fact) like me!

Did you find this post useful?
|
Avatar
jazzgirl
replied on March 7th, 2009
New User
samters syndrome
i was just diagnosed and was told to use alkalol as a nasel rinse and return in 3 months to the new ent doctor - all my allergist wants to do is procribe medicine and i am so sick and tired of being sick i want to jump off a bridge - cant stop the coughing.......take 2 puffs of asmanex daily and am recently taking high dosages of vit c and a plus steam inhalation - any other suggestions?
Did you find this post useful?
|
Avatar
Jenkalo
replied on March 11th, 2009
New User
Samter's triad
I, too, have been living with Samter's triad for the past 14 years. Just a few weeks ago, I underwent my 3rd surgery to have polyps removed, as multiple doses of antibiotics and prednisone were not working.

I see both an ENT as well as an Asthma/Allergy specialist. They work well together and both suggested trying some new (for me) medications. University of Pennsylvania medical school has apparently been studying the effects of a nasal wash with Pulmicort resples (as someone wrote above), and both of my physicians highly recommended trying it. I have to do it twice a day, but it is worth it...very soothing. My allergist also suggested Xyflo CR, which is an old medication back on the market. It is supposed to be effective in stopping the polyp growth farther down towards the base of where they grow. The down side is that it can be hard on the liver, so regular bloodtests are necessary.

3 weeks out from surgery, and I am breathing with my mouth closed and have little sinus pressure/pain. No sense of smell yet, but my doctor said that's normal since there's still a lot of swelling. Hope all of this helps!
Did you find this post useful?
|
Avatar
thinker2thinker
replied on March 28th, 2009
New User
Samter's Triad
Yes, I too suffer with nasal polyps, asthma and Samter's Triad. Recently went to a walk-in clinic (after coughing so much and spit was a different color), I was told I was a split hair from walking pneumonia, nurse diagnosed me as bronchitis (3 branches of right lung congested). After 2nd nasal polyp surgery I vowed not to do allopathic medicine and try many alternatives. Personally, I always have in my allergy arsenal many herbs and supplements. You can write me if you would like to discuss further. JT
Did you find this post useful?
|
Avatar
krisp
replied on March 28th, 2009
New User
Sampter's Triad
I was diagnosed with Sampter's at about age 50, but have had environmental allergies my whole life. I had sinus surgery for the first time about 6 years ago but was not diligent about nasal steroids and daily flushing and the sinusitis and polyps returned rather quickly.

Three years ago, I went to National Jewish for their aspirin desensitization treatment. The doctor I had would not even admit to Sampter's Triad as a condition. I would not recommend this treatment unless your ENT and Allergist are adament. After the treatment, which lasted 3 awful days, I was to take 4 aspirin a day for a year and then start reducing. The bruising on my body, especially my legs which were literally black, was too severe to continue that dosage. I tried one aspirin a day but that was also too much. In about the third month after treatment I went to one reduced strength aspirin a day. That seemed to work, and I was really pleased not to have migraines during this period, but the polyps experienced a growth explosion.

In October of last year I had the sinus surgery again and this time I am using Nasonex twice a day and also flushing with a salt solution twice a day and can still taste and smell.

Of course, I do still have the post nasal drip and couphing that accompany the condition as I am told by my ENT that it can not be cured, only contained. The migraines are back too.

Meds:
Nasonex (twice daily)
Singulair (once daily)
Advair (twice daily)
Clarinex (as needed for allegies)
Did you find this post useful?
|
Avatar
thinker2thinker
replied on March 28th, 2009
New User
Samter's Triad
I have not officially been diagnosed just told by my ENT that occasionally people with nasal polyps and sinusitis develop this condition where they cannot take NSAIDS. ENT informed me that a doctor in Germany was working on a desensitization method involving aspirin. However he did not know the method but thought it started out with the patient only licking a baby aspirin and working up to taking 1/4" of one baby aspirin, but it could take a long time and one should be in the care of a doctor if they were going to try due to the problems that could arise i.e. anaphalysis, asthma seizures, etc.
Since the bronchitis I am taking proventil and sometimes use the advair (but I really don't like to do) I'm more of a naturalist. Some days it's just difficult to get anything done (single mom of two). When I was 2yr had an asthma attack but Mom said it went away, lived my life asthma free till 2006 when I suddenly developed asthma.
Did you find this post useful?
|
Avatar
laurenceb
replied on April 15th, 2009
New User
Samters Triad
Hi everyone. I am a 50 yr old male living in New Zealand and I have Samters. My condition is well controlled and I would like to help others in this forum because there are some scary stories out there.

I am not a doctor and so what I have to say is just based on my experience and my reading. I am lucky enough to have a really good specialist and also a brother who is a doctor who has taken special interest in Samters. I have read just about everything written on the subject and had to learn a whole new language to understand all the immunological jargon. Most doctors have never heard of Samters so I think it makes sense for us to learn as much as we can about our own condition.

Thinker2thinker: That desensitization method you describe sounds like a bad joke. I underwent desensitization and it was a complete success but very scary - its hard to take a drug you're avoided for 30 years. It was nothing like your doctor described. It involved oral challenge to ASA (aspirin) while admitted to hospital for 2-3 days (depending on your reaction to the drug). It is very important that NSAID challenges should only be undertaken by specialists with the expertise to manage any resultant symptoms.

Krisp: your story sounds just as scary. What dose of aspirin were you on? When you say 4 a day how much was each tab? The standard protocol calls for a maintenance dose of 300mg per day - that is 1 normal aspirin pill.

Anyway, if anyone has any questions I will try and answer as well as I can. I don't claim to know everything but my condition is well controlled these days and consequently my quality of life has improved immensely. I can now taste food (I even enjoy wine now and it used to "taste" like vinegar), I sleep well, I haven't wheezed in years and, best of all, I can smell my children's hair. No-one can imagine what that is like if you've never smelled anything before.
Did you find this post useful?
|
Avatar
laurenceb
replied on April 15th, 2009
New User
Re: Krisp
Hey Krisp, I did some research on that dosage of aspirin you were given and found out that in America they sometimes give a higher dose than we do over here.
Did you find this post useful?
|
Avatar
harveysgirl
replied on April 24th, 2009
New User
sampters Triad
Hi Laurenceb

What are you doing that is making you so well.I have had sampters for 20 years, 2 operations and all of the above for symptoms. I am currently on asprin 750mg a day which i have been on for 1 month it doesnt seem to be doing any good in fact my systoms are worse.
I am sticking to it, maybe you get worse before you get better.

I would love to know if anyone has any other ideas on flying. I am flying out on 8th May and before I go I have to take a course of cortisone and sudafed chew chewing gum and have ear plugs. Help

Harveysgirl
Did you find this post useful?
|
Avatar
gypsymouse
replied on April 29th, 2009
New User
more samter's
I have been using the pulmicort respules in my nasal rinse for a little over a month and I really think it is helping. I wasn't able to use the steroid nasal sprays as they gave me severe headaches, but I don't have the same reactions to the steroid used in the rinse. I have had to take two more courses of antibiotics since the initial post, but now that the rinses are better established I don't have the daily face pain that I was experiencing before and I can still smell and taste. I see the doctor next week re: more surgery since I've had so much infection in the last 6 months. If the surgery is necessary I have to do it before the aspirin desensitization (can't take aspirin for a few weeks post surgery since it is an anti-coagulant, which would mean I'd have to desensitize more than once). I've joined the Yahoo group listed in a post above and it has a lot of active members and some really good information and moral support. I recommend it. Some of the people there use some natural remedies (many oregano based) to treat fungal sinus issues and for their antibiotic properties. Several take Singulair (leukotriene inhibitor) and other medications. You can ask questions about specific treatments.

If I get another CT following using the Pulmicort in the rinse I'll let you know if it shows improvement. That will give some empirical support to the off label use of this medication.
Did you find this post useful?
|
Avatar
Polarbear38
replied on May 12th, 2009
New User
Samter's Triad
Can an 11 year old be diagnosed with this condition? It appears that
most of the others on this blog are adults
Did you find this post useful?
|
Avatar
SamtersSucks
replied on May 21st, 2009
New User
Samter's Triad
I've had the Aspirin desensitization and it has helped, thought I not sure how much. Right now I am on 640mg 2x a day....I do notice if I have forgotten a dose on accident it helps a bunch, but the ENT and allergist did not recommended that.

Considering before more surgery I couldn't breath through my nose, things aren't to bad with the exception of my sinuses while I sleep. To be honest the medicine that has helped me the most is Zyflo, its an anti-lukotriene like singular - just more heavy duty,
Did you find this post useful?
|
Avatar
SamtersSucks
replied on May 21st, 2009
New User
Samter's Triad
Polarbear38 - I think it typically happens between 20-30. But I don't know if that means it can't happen at a younger age. An allergist should be able to tell you. It took them about 5 years to figure out I have Samter's since everything doesn't show up at once.

First I had asthma, then sinus issues, and then polyps. Which is not the standard order but it all took years to come to fruition.
Did you find this post useful?
|
Avatar
gypsymouse
replied on May 21st, 2009
New User
Samter's triad
Polarbear38 - I haven't heard of it being that early onset before, but if the 11 year old has asthma, polyps and ASA sensitivity, then you should talk to the allergist about it. My asthma started young, then sinus issues in late 20's, finally ASA sensitivity in my early 30's.

I had my second surgery last week with the "stealth" procedure. It went really well, I'm healing quickly and feeling good already. I could breathe and smell right away. I have the aspirin desensitization next week.

Jennie
Did you find this post useful?
|
12 >>
Quick Reply
Search