1. Evaluation of aspirin hypersensitivity in patients with chronic rhinosinusitis
- Author
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Su Il Kim, Kun Hee Lee, Chul Kwun, and Sung Wan Kim
- Subjects
Adult ,Male ,medicine.medical_specialty ,Allergy ,Nasal Provocation Tests ,Chronic rhinosinusitis ,medicine.medical_treatment ,Gastroenterology ,Nasal provocation test ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Nose Diseases ,otorhinolaryngologic diseases ,Humans ,Medicine ,Nasal polyps ,Prospective Studies ,Young adult ,030223 otorhinolaryngology ,Prospective cohort study ,Aged ,Asthma ,Aspirin ,business.industry ,General Medicine ,Middle Aged ,respiratory system ,medicine.disease ,Surgery ,030228 respiratory system ,Otorhinolaryngology ,Chronic Disease ,Asthma, Aspirin-Induced ,Female ,business ,medicine.drug - Abstract
Conclusion The recurrence rates of chronic rhinosinusitis (CRS) were higher in the aspirin nasal provocation test (ANPT)-positive group, regardless of the presence of nasal polyps. Thus, a careful endoscopic examination is required during follow-up in ANPT-positive patients with CRS. Objectives The aim of this study was to evaluate the clinical features and prognosis after surgical treatment in patients with CRS and aspirin hypersensitivity. Methods In a prospective study, 100 patients were analyzed with CRS who underwent endoscopic sinus surgery at the hospital from October 2012 to March 2013. This study measured changes in nasal volume and symptoms before and after the ANPT and examined patient's asthma history, allergy, Lund-Mackay score (LMS), total immunoglobulin E, percentage of peripheral eosinophils, and objectively measured relapse at 6 months. Results Patients wwith CRS and nasal polyps (CRSwNP) were more likely to have a positive ANPT test result compared to those without nasal polyps (CRSsNP) (21.4% vs 5.5%). The ANPT-positive group had a higher LMS and required more revision endoscopic sinus surgery than those in the ANPT-negative group. The results were that similar results were observed in CRSwNP and CRSsNP.
- Published
- 2016
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