Immune deficiency in chronic rhinosinusitis: screening and treatment

被引:28
作者
Chiarella, Sergio E. [1 ]
Grammer, Leslie C. [1 ]
机构
[1] Northwestern Univ, Dept Med, Feinberg Sch Med, Div Allergy Immunol, 211 E Ontario St Suite 1000, Chicago, IL 60611 USA
关键词
Chronic rhinosinusitis; immune deficiency; antibody; immunoglobulin; specific antibody deficiency; common variable immunodeficiency; COMMON VARIABLE IMMUNODEFICIENCY; REFRACTORY CHRONIC RHINOSINUSITIS; OF-THE-LITERATURE; ANTIBODY DEFICIENCY; PRACTICE PARAMETER; CLINICAL-PICTURE; RITUXIMAB; HYPOGAMMAGLOBULINEMIA; MANAGEMENT; IMMUNOGLOBULIN;
D O I
10.1080/1744666X.2016.1216790
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Introduction: Chronic rhinosinusitis (CRS) is a prevalent disease with a high annual cost of treatment. Immune deficiencies are more common in individuals with CRS and should be especially considered in those patients who are refractory to medical and surgical therapy.Areas covered: We performed a literature search in PubMed of the terms immunodeficiency and sinusitis or rhinosinusitis from 2006 through March 2016. All abstracts were reviewed to determine if they pertained to human disease; relevant articles were evaluated in their entirety and included in this review.Expert commentary: CRS is a common disease; in those patients with frequent exacerbations or who are refractory to treatment, an immunodeficiency evaluation should be considered. Treatment includes vaccination, antibiotic therapy, immunoglobulin replacement and surgery.
引用
收藏
页码:117 / 123
页数:7
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