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[Clinical symptoms and immunology inspection characteristics of nasal cavity local allergy].
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Aug 05; 31(15):1146-1151.LC

Abstract

Objective:

To investigate the clinical symptoms and immunology inspection characteristics of nasal cavity local allergy. Method:Selected 60 patients as observation group, who had only nasal local allergy symptoms, allergen skin prick test and serum allergen specific IgE (SIgE) test were negative, 40 allergic rhinitis (AR) patients and 40 healthy volunteers as control groups. To detect Symptom scores and VAS scores, and eosinophilia counts in venous blood, allergen skin prick test (SPT), serum allergen SIgE test, nasal secretions allergen SIgE test, nasal mucous membrane excitation test in both observation group and AR group, eosinophilia counts in nasal secretion, taked the data for statistical analysis.Result:There was no difference (P> 0.05) in the symptom scores and VAS scores of observation group and the AR group. The eosinophilia counts in venous blood in the AR group were higher than in the observation group (P< 0.05). The eosinophilia counts in venous blood in the observation group were higher than in the healthy volunteers group (P< 0.05). The positive rate of nasal secretions dust mites and pollen allergen was 90% (54/60) in observation group. There was no significant difference (P> 0.05) in the eosinophilia percentages in nasal secretion in the observation group and the AR group. There was significant difference (P< 0.05) in the eosinophilia percentages in nasal secretion in the observation group and the healthy volunteers group. There were 6 patients in observation group whose nasal secretions allergen SIgE test and nasal mucous membrane excitation test were both negative, could be diagnosised as non-allergic rhinitis (NAR). According to eosinophilia counts in venous blood and nasal secretions, 4 patients were diagnosised as vasomotor rhinitis and 2 patients were diagnosised as NAR with eosinophilia syndrome. There were 54 patients in observation group whose nasal secretions allergen SIgE test and (or) nasal mucous membrane excitation test were positive, could be diagnosised as local allergic rhinitis. After three years, all of the observation group patients were detected with SPT and serum allergen SIgE test. Five patients diagnosed as local allergic rhinitis before three years were positive. Six patients diagnosed as NAR before three years were negative.

Conclusion:

For patients with the typical medical history and symptoms of AR, but allergen SPT and serum allergen SIgE test were negative, there was local specific hypersensitivity in nasal mucosa, but the reaction was not accompanied by systemic sensitization. Combined with nasal secretions allergen SIgE test or allergen nasal mucosa proocation tests positive, could be diagnosed as local allergic rhinitis.

Authors+Show Affiliations

Department of Otorhinolaryngology, Huanhu Hospital, Tianjin, 300350, China.Department of Otorhinolaryngology, Huanhu Hospital, Tianjin, 300350, China.Department of Otorhinolaryngology, Huanhu Hospital, Tianjin, 300350, China.Department of Otorhinolaryngology, Huanhu Hospital, Tianjin, 300350, China.Department of Otorhinolaryngology, Huanhu Hospital, Tianjin, 300350, China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

29798346

Citation

Yin, Z X., et al. "[Clinical Symptoms and Immunology Inspection Characteristics of Nasal Cavity Local Allergy]." Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, vol. 31, no. 15, 2017, pp. 1146-1151.
Yin ZX, Zhu Y, Zhai X, et al. [Clinical symptoms and immunology inspection characteristics of nasal cavity local allergy]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;31(15):1146-1151.
Yin, Z. X., Zhu, Y., Zhai, X., Zhang, J. L., & Liu, G. (2017). [Clinical symptoms and immunology inspection characteristics of nasal cavity local allergy]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 31(15), 1146-1151. https://doi.org/10.13201/j.issn.1001-1781.2017.15.002
Yin ZX, et al. [Clinical Symptoms and Immunology Inspection Characteristics of Nasal Cavity Local Allergy]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Aug 5;31(15):1146-1151. PubMed PMID: 29798346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical symptoms and immunology inspection characteristics of nasal cavity local allergy]. AU - Yin,Z X, AU - Zhu,Y, AU - Zhai,X, AU - Zhang,J L, AU - Liu,G, PY - 2017/04/16/received PY - 2018/5/26/entrez PY - 2018/5/26/pubmed PY - 2018/10/20/medline KW - allergens KW - nasal mucosa provocation tests KW - rhinitis, allergic SP - 1146 EP - 1151 JF - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery JO - Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi VL - 31 IS - 15 N2 - Objective:To investigate the clinical symptoms and immunology inspection characteristics of nasal cavity local allergy. Method:Selected 60 patients as observation group, who had only nasal local allergy symptoms, allergen skin prick test and serum allergen specific IgE (SIgE) test were negative, 40 allergic rhinitis (AR) patients and 40 healthy volunteers as control groups. To detect Symptom scores and VAS scores, and eosinophilia counts in venous blood, allergen skin prick test (SPT), serum allergen SIgE test, nasal secretions allergen SIgE test, nasal mucous membrane excitation test in both observation group and AR group, eosinophilia counts in nasal secretion, taked the data for statistical analysis.Result:There was no difference (P> 0.05) in the symptom scores and VAS scores of observation group and the AR group. The eosinophilia counts in venous blood in the AR group were higher than in the observation group (P< 0.05). The eosinophilia counts in venous blood in the observation group were higher than in the healthy volunteers group (P< 0.05). The positive rate of nasal secretions dust mites and pollen allergen was 90% (54/60) in observation group. There was no significant difference (P> 0.05) in the eosinophilia percentages in nasal secretion in the observation group and the AR group. There was significant difference (P< 0.05) in the eosinophilia percentages in nasal secretion in the observation group and the healthy volunteers group. There were 6 patients in observation group whose nasal secretions allergen SIgE test and nasal mucous membrane excitation test were both negative, could be diagnosised as non-allergic rhinitis (NAR). According to eosinophilia counts in venous blood and nasal secretions, 4 patients were diagnosised as vasomotor rhinitis and 2 patients were diagnosised as NAR with eosinophilia syndrome. There were 54 patients in observation group whose nasal secretions allergen SIgE test and (or) nasal mucous membrane excitation test were positive, could be diagnosised as local allergic rhinitis. After three years, all of the observation group patients were detected with SPT and serum allergen SIgE test. Five patients diagnosed as local allergic rhinitis before three years were positive. Six patients diagnosed as NAR before three years were negative.Conclusion:For patients with the typical medical history and symptoms of AR, but allergen SPT and serum allergen SIgE test were negative, there was local specific hypersensitivity in nasal mucosa, but the reaction was not accompanied by systemic sensitization. Combined with nasal secretions allergen SIgE test or allergen nasal mucosa proocation tests positive, could be diagnosed as local allergic rhinitis. SN - 1001-1781 UR - https://www.unboundmedicine.com/medline/citation/29798346/[Clinical_symptoms_and_immunology_inspection_characteristics_of_nasal_cavity_local_allergy]_ L2 - https://medlineplus.gov/hayfever.html DB - PRIME DP - Unbound Medicine ER -