A 44-year-old African American woman with severe, persistent asthma and chronic rhinosinusitis with nasal polyposis due to aspirin-exacerbated respiratory disease (AERD) and allergic rhinoconjunctivitis presented to an outpatient allergy clinic with chief symptoms of epigastric pain and dysphagia while taking aspirin for AERD. The patient was diagnosed with asthma and rhinosinusitis at 31 and 34 years of age, respectively. She initially had symptoms compatible with AERD at 38 years of age when she first reacted to ibuprofen and was diagnosed with sinonasal polyposis.
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