Department of Otorhinolaryngology, Amsterdam University Medical Centres, Location AMC, Amsterdam, the Netherlands.
Department of Otorhinolaryngology, Amsterdam University Medical Centres, Location AMC, Amsterdam, the Netherlands.
Otolaryngol Clin North Am. 2023 Feb;56(1):1-10. doi: 10.1016/j.otc.2022.09.001. Epub 2022 Oct 18.
Upper and lower airways diseases are very common, with population prevalence of 10% to 40%. The conditions are usually interlinked and referred to as "unified airway disease" or "the united airways." Especially in phenotypes with more severe disease, type 2 immunologic endotype is often noted. Comorbid upper and lower airway diseases are usually caused by similar underlying immunologic response. Any patient with rhinitis or rhinosinusitis should have their lower respiratory tract evaluated. A multidisciplinary approach in the diagnosis and treatment of airway disease is advised, especially, for more severe phenotypes.
上、下呼吸道疾病非常常见,其人群患病率为 10%至 40%。这些疾病通常相互关联,并被称为“统一气道疾病”或“联合气道疾病”。特别是在疾病表型更为严重的情况下,通常会观察到 2 型免疫表型。上下呼吸道合并疾病通常是由相似的潜在免疫反应引起的。任何患有鼻炎或鼻窦炎的患者都应评估其下呼吸道。建议采用多学科方法来诊断和治疗气道疾病,特别是对于更为严重的疾病表型。