Differential diagnosis of eosinophilic chronic rhinosinusitis

被引:0
作者
John C. Sok
Berrylin J. Ferguson
机构
[1] University of Pittsburgh School of Medicine,Department of Otolaryngology
来源
Current Allergy and Asthma Reports | 2006年 / 6卷
关键词
Eosinophilia; Allergy Clin Immunol; Nasal Polyp; Omalizumab; Chronic Rhinosinusitis;
D O I
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学科分类号
摘要
Eosinophilic chronic rhinosinusitis (ECRS) encompasses a wide variety of etiologies. To date, a unifying pathophysiologic mechanism remains elusive. Eosinophilia is frequently, but not exclusively, caused by immunoglobulin (Ig)E-mediated hypersensitivity and is dominated by the associated cytokine milieu of Th2 inflammation. The provisional subcategories of ECRS include superantigen-induced eosinophilic chronic rhinosinusitis, allergic fungal sinusitis, nonallergic fungal eosinophilic chronic rhinosinusitis, and aspirin-exacerbated eosinophilic chronic rhinosinusitis. Within each subcategory, recent findings supporting distinct mechanisms that promote eosinophilic infiltration are presented, and, therefore, targeted therapeutic interventions with specific antibacterial, antifungal, or immune modulation may be indicated.
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页码:203 / 214
页数:11
相关论文
共 149 条
[11]  
Platts-Mills TA(2004)The eosinophil-quo vadis? J Allergy Clin Immunol 113 38-42
[12]  
Phillips CD(2004)Verdict in the case of therapies versus eosinophils: the jur y is still out J Allergy Clin Immunol 113 3-9
[13]  
Hoover GE(1990)Pulmonar y fibrosis Histopathology 16 321-329
[14]  
Newman LJ(1997)Human eosinophils J Allergy Clin Immunol 100 283-287
[15]  
Platts-Mills TA(2001)Microarray analysis of eosinophils reveals a number of candidate sur vival and apoptosis genes Am J Respir Cell Mol Biol 25 425-433
[16]  
Szucs E(2000)The surface phenotype of human eosinophils Chem Immunol 76 45-62
[17]  
Ravandi S(2000)Effects of an interleukin-5 blocking monoclonal antibody on eosinophils, airway hyper-responsiveness, and the late asthmatic response Lancet 356 2144-2148
[18]  
Goossens A(2001)The trials and tribulations of IL-5, eosinophils, and allergic asthma J Allergy Clin Immunol 108 503-508
[19]  
Baroody FM(2002)Decreased expression of membrane IL-5 receptor alpha on human eosinophils: I. Loss of membrane IL-5 receptor alpha on airway eosinophils and increased soluble IL-5 receptor alpha in the airway after allergen challenge J Immunol 169 6452-6458
[20]  
Hughes CA(2002)Intrinsic defect in T cell production of interleukin (IL) -13 in the absence of both IL -5 and eota xin precludes the development of eosinophilia and air ways hyperreactivity in experimental asthma J Exp Med 195 1433-44