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European Archives of Oto-Rhino-Laryngology

Published in:

01-09-2017 | Review Article

The role of local allergy in the nasal inflammation

Authors: Ke-Jia Cheng, Min-Li Zhou, Ying-Ying Xu, Shui-Hong Zhou

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2017

Abstract

Local allergic inflammation (LAI) is recognized recently. ‘entopy’ was used to define LAI, which was positively correlated with allergen provocation testing, local sIgE up-regulation, inflammatory mediator secretion, and a lack of systemic allergy. The study of LAI is in its infancy and focuses mainly on the respiratory system. It is closely related to nasal inflammation and plays important roles in patients with nonallergic rhinitis (NAR), nonallergic chronic sinusitis with nasal polyps (CRSwNP), and nonallergic fungal rhinosinusitis (NAFRS). Based on studies using nasal allergen provocation testing, 40–57% of patients with NAR exhibited positive results and could be diagnosed as local allergic rhinitis. Total IgE and common airborne allergen-sIgE were up-regulated in eosinophilic CRSwNP patients compared to noneosinophilic CRSwNP patients and healthy controls, possibly due to local allergic inflammation. Some researchers also found that the level of local sIgE was increased in patients with NAFRS; they suggested that local allergic inflammation occurs in NAFRS. Studies of LAI will increase our understanding of nasal inflammation and help to establish novel treatments. However, the diagnosis of local allergic inflammation is complex due to the lack of convenient detection methods. The relationship between local allergic inflammation and systemic allergic inflammation is unclear, and an appropriate treatment for local allergic inflammation is required.

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Title: The role of local allergy in the nasal inflammation
Authors: Ke-Jia Cheng
Min-Li Zhou
Ying-Ying Xu
Shui-Hong Zhou
Publication date: 01-09-2017
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 9/2017
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-017-4640-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The role of local allergy in the nasal inflammation

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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