Rochat Thierry
Service de pneumologie, HUG, 1211 Genève 14.
Rev Med Suisse. 2005 Nov 16;1(41):2640-3.
Intrinsic or non-atopic asthma is defined by the absence of positive skin test for specific aero-allergens, together with the absence of specific serum IgE. In the adult population, about one third of asthmatic patients are non-atopic. Non-atopic asthma begins generally later in life and is often more severe than atopic asthma. It is more often associated with chronic sinusitis and nasal polyps, a fact that is often underestimated. At the cellular and molecular level, non-atopic asthma and atopic asthma a very similar, and the reason for their clinical difference is not really understood.
内因性或非特应性哮喘的定义为针对特定气传变应原的皮肤试验呈阴性,同时血清特异性IgE也呈阴性。在成年哮喘患者中,约三分之一为非特应性。非特应性哮喘通常在生命后期发病,且往往比特应性哮喘更为严重。它更常与慢性鼻窦炎和鼻息肉相关,而这一事实常常被低估。在细胞和分子水平上,非特应性哮喘和特应性哮喘非常相似,其临床差异的原因尚未完全明确。