Waller G, Weidenbecher M, Pesch H J, Baenkler H
Laryngol Rhinol Otol (Stuttg). 1976 Mar;55(3):174-8.
43 patients with polyps affecting the nose and the sinuses were examined for immunological deficiencies on the basis of clinical, histomorphological and immunological findings. Constant histological findings were a chronic non-specific inflammation of varying intensity; immune-histologically a varyingly dense collection of Ig-producing cells with intracellular and extracellular immunoglobulins was observed. A determination of the immunoglobulins in the serum allowed no conclusion to be drawn as to the local condition of the mucosa. Hypertensitivity reactions played no role as a causal pathogenetic factor in the development of polyposis. In a third of the cases, however, polypi led to a secondary bronchial asthma. After the surgical removal of the polypi from the nose and paranasal sinuses, not only an improvement in nasal breathing and in the aeration of the sinuses was regularly achieved, but obstructive disorders of ventilation also disappeared.
根据临床、组织形态学和免疫学检查结果,对43例患有鼻及鼻窦息肉的患者进行了免疫缺陷检查。持续的组织学检查结果为不同程度的慢性非特异性炎症;免疫组织学检查发现,产生免疫球蛋白的细胞有不同程度的密集聚集,并伴有细胞内和细胞外免疫球蛋白。血清免疫球蛋白的测定无法推断出黏膜的局部状况。过敏反应在息肉病的发生过程中并非致病因素。然而,在三分之一的病例中,息肉导致了继发性支气管哮喘。在从鼻腔和鼻窦手术切除息肉后,不仅鼻腔呼吸和鼻窦通气状况经常得到改善,而且通气障碍也消失了。