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The article describes the case of a 13-year-old African American male who was admitted to the hospital due to an enlarging right-sided nasal cavity mass that had developed slowly over the past 3 to 4 months. Topics covered include the medical history of the patient, the findings of the physical and laboratory examinations that led to the diagnosis of allergic fungal sinusitis, and patient outcome after sinus surgery followed by systemic steroids with taper.