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变应性鼻炎诊断中鼻激发试验后嗜酸性粒细胞率的测定。

Determination of eosinophil rate after nasal provocation test in allergic rhinitis diagnosis.

作者信息

Escudero Pastor A, Negro Alvarez J M, Sola Pérez J, Soriano Gomis V, Mora González A, Sánchez-Guerrero Villajos I, García Sellés F J, López Sánchez J D, Pagán Alemán J A, Campos Aranda M

机构信息

Department of Allergy, Virgen de la Arrixaca University Hospital, Murcia, Spain.

出版信息

Allergol Immunopathol (Madr). 1992 Sep-Oct;20(5):201-5.

PMID:1292329
Abstract

After nasal provocation test in patients with allergic rhinitis, using the allergen they were sensitized to, we have observed: 1) an increase in the percentage of nasal eosinophils after 2, 3, 24 and 48 hours; 2) sneezes, mainly in the first 30 minutes; 3) nasal obstruction in the first three hours; 4) absence of rhinorrhea, but not in all the patients; and 5) no predominance of nasal, auricular and/or palatine pruritus at any time. When patients without rhinitis, or with allergic rhinitis were stimulated using a pneumoallergen they were not sensitized to, no significative increase in the nasal eosinophils percentage was found. No symptoms were observed either. So, we can conclude that nasal secretion samples, for eosinophilia percentage determination, should be taken from 2 to 48 hours after nasal provocation, and that the most frequent symptoms, which are probably related to cellular changes, are nasal obstruction and sneezes.

摘要

在变应性鼻炎患者中,使用其致敏的变应原进行鼻激发试验后,我们观察到:1)2小时、3小时、24小时和48小时后鼻嗜酸性粒细胞百分比增加;2)打喷嚏,主要在前30分钟;3)前3小时鼻塞;4)无鼻漏,但并非所有患者都如此;5)在任何时候均无鼻、耳和/或腭部瘙痒占优势的情况。当未患鼻炎或患有变应性鼻炎的患者使用其未致敏的气传变应原进行刺激时,未发现鼻嗜酸性粒细胞百分比有显著增加。也未观察到任何症状。因此,我们可以得出结论,用于测定嗜酸性粒细胞增多百分比的鼻分泌物样本应在鼻激发试验后2至48小时采集,并且最常见的症状可能与细胞变化有关,即鼻塞和打喷嚏。

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