Nasal polyps: An independent risk factor for bronchial hyperresponsiveness in patients with allergic rhinitis
Many studies were conducted to figure out the relationship between allergic rhinitis (AR) and lower airway diseases. This study was designed to elucidate the clinical parameters that could predict the coexistence of bronchial hyperresponsiveness (BHR) in AR and suggest a guideline for lower airway e...
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| Veröffentlicht in: | American journal of rhinology & allergy 2010-09, Vol.24 (5), p.359-363 |
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| container_title | American journal of rhinology & allergy |
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| creator | Ahn, Youngjin An, Soo-Youn Won, Tae-Bin Kim, Jeong-Whun Lee, Chul Hee Min, Yang-Gi Cho, Sang Heon Park, Heung Woo Koh, Young Yull Kim, Sun Sin Rhee, Chae-Seo |
| description | Many studies were conducted to figure out the relationship between allergic rhinitis (AR) and lower airway diseases. This study was designed to elucidate the clinical parameters that could predict the coexistence of bronchial hyperresponsiveness (BHR) in AR and suggest a guideline for lower airway evaluation in these patients.
One hundred seventy-three patients newly diagnosed with AR were evaluated for the lower airway with the methacholine bronchoprovocation test.
BHR was more prevalent in patients with nasal polyps (p = 0.01), in patients complaining of moderate to severe symptoms (p = 0.023), with higher serum total IgE levels (p = 0.001), and with blood eosinophil count (p = 0.008). No statistically significant difference was observed between intermittent and persistent AR patients (p = 0.364). Blood eosinophil count that could predict BHR was calculated as 320 cells/μL (p = 0.004).
Instead of a routine lower airway evaluation for all AR patients, we recommend lower airway evaluation for the selected patients with nasal polyps, moderate to severe symptoms, and high blood eosinophil count. |
| doi_str_mv | 10.2500/ajra.2010.24.3502 |
| format | Article |
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One hundred seventy-three patients newly diagnosed with AR were evaluated for the lower airway with the methacholine bronchoprovocation test.
BHR was more prevalent in patients with nasal polyps (p = 0.01), in patients complaining of moderate to severe symptoms (p = 0.023), with higher serum total IgE levels (p = 0.001), and with blood eosinophil count (p = 0.008). No statistically significant difference was observed between intermittent and persistent AR patients (p = 0.364). Blood eosinophil count that could predict BHR was calculated as 320 cells/μL (p = 0.004).
Instead of a routine lower airway evaluation for all AR patients, we recommend lower airway evaluation for the selected patients with nasal polyps, moderate to severe symptoms, and high blood eosinophil count.</description><identifier>ISSN: 1945-8924</identifier><identifier>EISSN: 1945-8932</identifier><identifier>DOI: 10.2500/ajra.2010.24.3502</identifier><identifier>PMID: 21244736</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Bronchial Hyperreactivity - etiology ; Child ; Child, Preschool ; Eosinophils - physiology ; Female ; Humans ; Immunoglobulin E - blood ; Logistic Models ; Male ; Middle Aged ; Nasal Polyps - complications ; Rhinitis, Allergic, Perennial - complications ; Rhinitis, Allergic, Seasonal - complications ; Risk Factors</subject><ispartof>American journal of rhinology & allergy, 2010-09, Vol.24 (5), p.359-363</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c300t-86de3014ebfa6580a113b2975d700fcbadf039048a27aa67794bab3d364691253</citedby><cites>FETCH-LOGICAL-c300t-86de3014ebfa6580a113b2975d700fcbadf039048a27aa67794bab3d364691253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21244736$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahn, Youngjin</creatorcontrib><creatorcontrib>An, Soo-Youn</creatorcontrib><creatorcontrib>Won, Tae-Bin</creatorcontrib><creatorcontrib>Kim, Jeong-Whun</creatorcontrib><creatorcontrib>Lee, Chul Hee</creatorcontrib><creatorcontrib>Min, Yang-Gi</creatorcontrib><creatorcontrib>Cho, Sang Heon</creatorcontrib><creatorcontrib>Park, Heung Woo</creatorcontrib><creatorcontrib>Koh, Young Yull</creatorcontrib><creatorcontrib>Kim, Sun Sin</creatorcontrib><creatorcontrib>Rhee, Chae-Seo</creatorcontrib><title>Nasal polyps: An independent risk factor for bronchial hyperresponsiveness in patients with allergic rhinitis</title><title>American journal of rhinology & allergy</title><addtitle>Am J Rhinol Allergy</addtitle><description>Many studies were conducted to figure out the relationship between allergic rhinitis (AR) and lower airway diseases. This study was designed to elucidate the clinical parameters that could predict the coexistence of bronchial hyperresponsiveness (BHR) in AR and suggest a guideline for lower airway evaluation in these patients.
One hundred seventy-three patients newly diagnosed with AR were evaluated for the lower airway with the methacholine bronchoprovocation test.
BHR was more prevalent in patients with nasal polyps (p = 0.01), in patients complaining of moderate to severe symptoms (p = 0.023), with higher serum total IgE levels (p = 0.001), and with blood eosinophil count (p = 0.008). No statistically significant difference was observed between intermittent and persistent AR patients (p = 0.364). Blood eosinophil count that could predict BHR was calculated as 320 cells/μL (p = 0.004).
Instead of a routine lower airway evaluation for all AR patients, we recommend lower airway evaluation for the selected patients with nasal polyps, moderate to severe symptoms, and high blood eosinophil count.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bronchial Hyperreactivity - etiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Eosinophils - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Immunoglobulin E - blood</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasal Polyps - complications</subject><subject>Rhinitis, Allergic, Perennial - complications</subject><subject>Rhinitis, Allergic, Seasonal - complications</subject><subject>Risk Factors</subject><issn>1945-8924</issn><issn>1945-8932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMtOg0AUhidGY2v1AdyY2bmizh1w1zTekkY3up4cYJCpFHAO1fTthbR2cW7J-f7FR8g1Z3OhGbuDdYC5YOOp5lIzcUKmPFU6SlIpTo-7UBNygbhmzCit-DmZCC6UiqWZks0rINS0a-tdh_d00VDfFK5zQ2t6Gjx-0RLyvg20HCoLbZNXfgCqXedCcNi1Dfof1zjEgaQd9H4Akf76vqJQ1y58-pyGyje-93hJzkqo0V0d5ox8PD68L5-j1dvTy3KxinLJWB8lpnCSceWyEoxOGHAuM5HGuogZK_MMipLJlKkERAxg4jhVGWSykEaZlAstZ-R2n9uF9nvrsLcbj7mra2hcu0WbKB0bExs1fPL9Zx5axOBK2wW_gbCznNlRsh0l21GyFcqOkgfm5pC-zTauOBL_VuUf8sB6ew</recordid><startdate>201009</startdate><enddate>201009</enddate><creator>Ahn, Youngjin</creator><creator>An, Soo-Youn</creator><creator>Won, Tae-Bin</creator><creator>Kim, Jeong-Whun</creator><creator>Lee, Chul Hee</creator><creator>Min, Yang-Gi</creator><creator>Cho, Sang Heon</creator><creator>Park, Heung Woo</creator><creator>Koh, Young Yull</creator><creator>Kim, Sun Sin</creator><creator>Rhee, Chae-Seo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201009</creationdate><title>Nasal polyps: An independent risk factor for bronchial hyperresponsiveness in patients with allergic rhinitis</title><author>Ahn, Youngjin ; An, Soo-Youn ; Won, Tae-Bin ; Kim, Jeong-Whun ; Lee, Chul Hee ; Min, Yang-Gi ; Cho, Sang Heon ; Park, Heung Woo ; Koh, Young Yull ; Kim, Sun Sin ; Rhee, Chae-Seo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c300t-86de3014ebfa6580a113b2975d700fcbadf039048a27aa67794bab3d364691253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bronchial Hyperreactivity - etiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Eosinophils - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Immunoglobulin E - blood</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasal Polyps - complications</topic><topic>Rhinitis, Allergic, Perennial - complications</topic><topic>Rhinitis, Allergic, Seasonal - complications</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahn, Youngjin</creatorcontrib><creatorcontrib>An, Soo-Youn</creatorcontrib><creatorcontrib>Won, Tae-Bin</creatorcontrib><creatorcontrib>Kim, Jeong-Whun</creatorcontrib><creatorcontrib>Lee, Chul Hee</creatorcontrib><creatorcontrib>Min, Yang-Gi</creatorcontrib><creatorcontrib>Cho, Sang Heon</creatorcontrib><creatorcontrib>Park, Heung Woo</creatorcontrib><creatorcontrib>Koh, Young Yull</creatorcontrib><creatorcontrib>Kim, Sun Sin</creatorcontrib><creatorcontrib>Rhee, Chae-Seo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of rhinology & allergy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahn, Youngjin</au><au>An, Soo-Youn</au><au>Won, Tae-Bin</au><au>Kim, Jeong-Whun</au><au>Lee, Chul Hee</au><au>Min, Yang-Gi</au><au>Cho, Sang Heon</au><au>Park, Heung Woo</au><au>Koh, Young Yull</au><au>Kim, Sun Sin</au><au>Rhee, Chae-Seo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nasal polyps: An independent risk factor for bronchial hyperresponsiveness in patients with allergic rhinitis</atitle><jtitle>American journal of rhinology & allergy</jtitle><addtitle>Am J Rhinol Allergy</addtitle><date>2010-09</date><risdate>2010</risdate><volume>24</volume><issue>5</issue><spage>359</spage><epage>363</epage><pages>359-363</pages><issn>1945-8924</issn><eissn>1945-8932</eissn><abstract>Many studies were conducted to figure out the relationship between allergic rhinitis (AR) and lower airway diseases. This study was designed to elucidate the clinical parameters that could predict the coexistence of bronchial hyperresponsiveness (BHR) in AR and suggest a guideline for lower airway evaluation in these patients.
One hundred seventy-three patients newly diagnosed with AR were evaluated for the lower airway with the methacholine bronchoprovocation test.
BHR was more prevalent in patients with nasal polyps (p = 0.01), in patients complaining of moderate to severe symptoms (p = 0.023), with higher serum total IgE levels (p = 0.001), and with blood eosinophil count (p = 0.008). No statistically significant difference was observed between intermittent and persistent AR patients (p = 0.364). Blood eosinophil count that could predict BHR was calculated as 320 cells/μL (p = 0.004).
Instead of a routine lower airway evaluation for all AR patients, we recommend lower airway evaluation for the selected patients with nasal polyps, moderate to severe symptoms, and high blood eosinophil count.</abstract><cop>United States</cop><pmid>21244736</pmid><doi>10.2500/ajra.2010.24.3502</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; SAGE Journals |
| subjects | Adolescent Adult Aged Bronchial Hyperreactivity - etiology Child Child, Preschool Eosinophils - physiology Female Humans Immunoglobulin E - blood Logistic Models Male Middle Aged Nasal Polyps - complications Rhinitis, Allergic, Perennial - complications Rhinitis, Allergic, Seasonal - complications Risk Factors |
| title | Nasal polyps: An independent risk factor for bronchial hyperresponsiveness in patients with allergic rhinitis |
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