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Published in: Current Allergy and Asthma Reports 8/2015

Open Access 01-08-2015 | Rhinosinusitis (J Mullol, Section Editor)

Hypersensitivity to Aspirin and other NSAIDs: Diagnostic Approach in Patients with Chronic Rhinosinusitis

Authors: Joanna Makowska, Anna Lewandowska–Polak, Marek L. Kowalski

Published in: Current Allergy and Asthma Reports | Issue 8/2015

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Abstract

Hypersensitivity to nonsteroidal anti-inflammatory drugs (NSAIDs) associated with chronic rhinosinusitis (CRS) and/or asthma comprises a distinct clinical syndrome referred to as NSAIDs exacerbated respiratory disease (NERD). Patients with NERD tend to have more severe course of both upper (CRS and nasal polyps) and lower airway (asthma) diseases and are usually recalcitrant to conventional treatment modalities. Diagnosing and phenotyping of patients with NERD are critical for prevention of drug-induced adverse reactions and open novel options for management of underlying chronic airway inflammatory diseases. Diagnosis of NERD is based on detailed clinical history confirmed by challenge with aspirin, but new diagnostic approaches are currently being developed. This review article focuses on the diagnostic approach to a patient with CRS and hypersensitivity to NSAIDs, emphasizing the importance of diagnosis for proper patient’s management.
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Metadata
Title
Hypersensitivity to Aspirin and other NSAIDs: Diagnostic Approach in Patients with Chronic Rhinosinusitis
Authors
Joanna Makowska
Anna Lewandowska–Polak
Marek L. Kowalski
Publication date
01-08-2015
Publisher
Springer US
Published in
Current Allergy and Asthma Reports / Issue 8/2015
Print ISSN: 1529-7322
Electronic ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-015-0552-y

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