Moos Łukasz, Zajac Magdalena, Brzoza Zenon
Department of Internal Diseases with Division of Allergology, Institute of Medical Sciences, University of Opole, 45-040 Opole, Poland.
European Center for Diagnosis and Treatment of Urticaria (GA2LEN UCARE), 41-800 Zabrze, Poland.
J Clin Med. 2022 Jan 27;11(3):637. doi: 10.3390/jcm11030637.
Airway inflammation is related to increased nitric oxide production. It can be assessed noninvasively with exhaled nitric oxide measurement. As airway inflammation was supposed to be present in chronic urticaria and angioedema patients we hypothesized increased exhaled nitric oxide in this group. Twenty-six symptomatic chronic urticaria patients with an acute episode of pharynx angioedema (17 women and 9 men, median age 35) were included in the study group. None of the patients reported a history of asthma, allergic rhinitis or cigarette smoking. The control group consisted of 29 non-smoking healthy subjects (19 women and 10 men, median age 22) without any history of atopy. Exhaled nitric oxide measurement was performed in all subjects. Exhaled nitric oxide levels in the angioedema group did not differ statistically significantly from those detected in healthy subjects (15.5 ppb and 17.0 ppb respectively). Our results indicate the lack of airway inflammation in chronic urticaria patients with pharynx angioedema.
气道炎症与一氧化氮生成增加有关。可通过呼出一氧化氮测量进行无创评估。由于推测慢性荨麻疹和血管性水肿患者存在气道炎症,我们假设该组患者呼出一氧化氮增加。研究组纳入了26例有咽部血管性水肿急性发作的症状性慢性荨麻疹患者(17名女性和9名男性,中位年龄35岁)。所有患者均无哮喘、过敏性鼻炎或吸烟史。对照组由29名无特应性病史的非吸烟健康受试者组成(19名女性和10名男性,中位年龄22岁)。对所有受试者进行呼出一氧化氮测量。血管性水肿组的呼出一氧化氮水平与健康受试者检测到的水平在统计学上无显著差异(分别为15.5 ppb和17.0 ppb)。我们的结果表明,有咽部血管性水肿的慢性荨麻疹患者不存在气道炎症。