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[变应性鼻炎。免疫和神经机制]

[Allergic rhinitis. Immunological and neurogenic mechanisms].

作者信息

Klimek L, Pfaar O

机构信息

Zentrum für Rhinologie und Allergologie, Wiesbaden, Deutschland.

出版信息

HNO. 2011 Dec;59(12):1191-7. doi: 10.1007/s00106-011-2294-z.

Abstract

Allergic rhinitis is one of the most common diseases to affect humans. It is important to note that it is an immunological disease which is associated with significant changes in the mucous membrane of the respiratory tract. Clinical symptoms of allergic rhinitis include sneezing, rhinorrhea, nasal itching, and nasal congestion. The mechanism underlying the development of symptoms associated with allergic rhinitis are complex, including activation and infiltration of inflammatory cells, edema, increased and altered gland activity, nerve terminal activation, triggering of neurogenic inflammation and morphologically detectable remodelling processes in the mucous membrane. Finally, a systematic activation of immune processes also takes place. Thus, allergic rhinitis is clearly a serious disease requiring prompt and effective treatment; moreover, it has been unjustly trivialized to date, not least because of its high incidence.

摘要

变应性鼻炎是影响人类的最常见疾病之一。需要注意的是,它是一种免疫性疾病,与呼吸道黏膜的显著变化相关。变应性鼻炎的临床症状包括打喷嚏、流涕、鼻痒和鼻塞。与变应性鼻炎相关症状的发生机制很复杂,包括炎性细胞的激活和浸润、水肿、腺体活动增加和改变、神经末梢激活、神经源性炎症的触发以及黏膜中形态学上可检测到的重塑过程。最后,免疫过程也会发生系统性激活。因此,变应性鼻炎显然是一种需要及时有效治疗的严重疾病;此外,它至今一直被不公正地轻视,这尤其是因为其高发病率。

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