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过敏与偏头痛:存在关联吗?

Allergy and migraine: is there a connection?

作者信息

Mehle Mark E

机构信息

Northeastern Ohio Universities College of Medicine, Rootstown, Ohio, USA.

出版信息

Curr Opin Otolaryngol Head Neck Surg. 2008 Jun;16(3):265-9. doi: 10.1097/MOO.0b013e3282f6a629.

Abstract

PURPOSE OF REVIEW

In the last 10 years, otolaryngologists and allergists have become increasingly aware of migraine headaches in their practices. This is partially due to a better understanding of the high incidence of migraine and a realization that the majority of patients presenting as 'sinus headache' are actually suffering from migraine headaches. Considering that the incidence of migraine is approximately 20% in women and 6% in men and that 10-30% of people have allergies (US Department of Health and Human Services. Evidence Report/Technology Assessment No. 54; May 2002. AHRQ Publication No. 02-E024. pp. 1-198), there is obviously a large population of patients who suffer from both conditions. The question then arises that are migraine and allergy comorbid conditions, or is any association between the two a random occurrence?

RECENT FINDINGS

The present study addresses this association, which has remained controversial for over 100 years. Newer studies focusing on familial trends, shared biochemical pathways and underlying mechanisms are presented.

RELEVANCE

This study will provide a foundation to support future clinical studies.

摘要

综述目的

在过去十年中,耳鼻喉科医生和过敏症专科医生在临床实践中越来越多地认识到偏头痛。部分原因是对偏头痛高发病率有了更好的理解,并且意识到大多数表现为“鼻窦性头痛”的患者实际上患有偏头痛。鉴于偏头痛在女性中的发病率约为20%,在男性中为6%,且10 - 30%的人患有过敏症(美国卫生与公众服务部。证据报告/技术评估第54号;2002年5月。AHRQ出版物第02 - E024号。第1 - 198页),显然有大量患者同时患有这两种疾病。于是问题出现了,偏头痛和过敏是共病情况,还是两者之间的任何关联是随机发生的?

最新发现

本研究探讨了这种关联,该关联在100多年来一直存在争议。文中呈现了关注家族趋势、共享生化途径和潜在机制的最新研究。

意义

本研究将为支持未来的临床研究提供基础。

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