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银屑病患者鼻黏膜纤毛清除功能的评估。

Evaluation of nasal mucociliary clearance in patients with psoriasis.

作者信息

Yücel Abitter, Yavuz Cahit, Güllüev Mustafa, Yücel Hilal, Özsöz Ekrem, Çulha Sümeyye Gencer, Alan Mehmet Akif, Eryılmaz Mehmet Akif

机构信息

Department of Otorhinolaryngology, University of Health Sciences, Konya City Hospital, Konya, Türkiye.

Department of Dermatology, Selçuk University, Konya, Türkiye.

出版信息

Eur Arch Otorhinolaryngol. 2025 Feb;282(2):807-811. doi: 10.1007/s00405-024-09055-4. Epub 2024 Oct 30.

DOI:10.1007/s00405-024-09055-4
PMID:39475967
Abstract

PURPOSE

Psoriasis is an autoimmune pathology characterized by chronic inflammation with known multiorgan involvement. In the literature, there are few studies investigating the effects of psoriasis on upper respiratory tract mucosa. Our aim in our study was to investigate the possible effect of psoriasis disease severity and duration on nasal mucosa.

METHODS

A study group was formed from patients with psoriasis and disease duration, Psoriasis Area Severity Index (PASI) and Nasal Obstruction Symptom Evaluation (NOSE) scores of these patients were recorded. Demographic data were noted in all participants with the participation of control group patients, saccharin test was performed to evaluate the nasal mucosa and nasal mucociliary clearance (NMC) times were measured. Psoriasis patients with pathology that may cause nasal obstruction were excluded from the study.

RESULTS

A total of 59 people (30 patients and 29 controls) aged 20-65 years were included in the study. There was no difference in age and gender distribution between the two groups. No statistically significant difference in the NMC time between two groups. In the patients group, a correlation was observed between the NMC time to the NOSE test, but no correlation was observed between the NMC time to the duration of the disease and the PASI score.

CONCLUSION

In our study, no difference was observed in NMC time between the two groups and according to the duration or severity of the disease. In addition, NOSE score of patients was also relatively low. No significant impact of psoriasis on nasal functions was found.

摘要

目的

银屑病是一种自身免疫性疾病,其特征为慢性炎症,已知会累及多个器官。在文献中,很少有研究调查银屑病对上呼吸道黏膜的影响。我们研究的目的是调查银屑病的疾病严重程度和病程对鼻黏膜的可能影响。

方法

由银屑病患者组成研究组,记录这些患者的病程、银屑病面积和严重程度指数(PASI)以及鼻阻塞症状评估(NOSE)评分。在对照组患者参与的情况下,记录所有参与者的人口统计学数据,进行糖精试验以评估鼻黏膜,并测量鼻黏液纤毛清除(NMC)时间。将可能导致鼻阻塞的银屑病患者排除在研究之外。

结果

共有59名年龄在20 - 65岁之间的人(30名患者和29名对照)纳入研究。两组之间的年龄和性别分布没有差异。两组之间的NMC时间没有统计学上的显著差异。在患者组中,观察到NMC时间与NOSE试验之间存在相关性,但未观察到NMC时间与疾病持续时间和PASI评分之间存在相关性。

结论

在我们的研究中,两组之间以及根据疾病的持续时间或严重程度,NMC时间均未观察到差异。此外,患者的NOSE评分也相对较低。未发现银屑病对鼻功能有显著影响。

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本文引用的文献

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Dendritic Cells and Macrophages in the Pathogenesis of Psoriasis.树突细胞和巨噬细胞在银屑病发病机制中的作用。
Front Immunol. 2022 Jun 28;13:941071. doi: 10.3389/fimmu.2022.941071. eCollection 2022.
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Impact of Chronic Inflammation in Psoriasis on Bone Metabolism.银屑病慢性炎症对骨代谢的影响。
Front Immunol. 2022 Jun 23;13:925503. doi: 10.3389/fimmu.2022.925503. eCollection 2022.
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Epidemiology of Psoriasis and Comorbid Diseases: A Narrative Review.银屑病的流行病学和合并症:一篇叙述性综述。
Front Immunol. 2022 Jun 10;13:880201. doi: 10.3389/fimmu.2022.880201. eCollection 2022.
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The Cytokine Mediated Molecular Pathophysiology of Psoriasis and Its Clinical Implications.细胞因子介导的银屑病分子病理生理学及其临床意义。
Int J Mol Sci. 2021 Nov 26;22(23):12793. doi: 10.3390/ijms222312793.
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Facial psoriasis in a mask-like distribution.呈面具样分布的面部银屑病。
JAAD Case Rep. 2020 Nov 24;7:128-130. doi: 10.1016/j.jdcr.2020.11.013. eCollection 2021 Jan.
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Vestibular Function in Psoriasis Patients.银屑病患者的前庭功能。
Ear Nose Throat J. 2022 Nov;101(9):616-619. doi: 10.1177/0145561320970683. Epub 2020 Nov 20.
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Oxidative Stress as an Important Contributor to the Pathogenesis of Psoriasis.氧化应激是银屑病发病机制的重要因素。
Int J Mol Sci. 2020 Aug 27;21(17):6206. doi: 10.3390/ijms21176206.
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Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review.银屑病的病理生理学、临床表现和治疗:综述。
JAMA. 2020 May 19;323(19):1945-1960. doi: 10.1001/jama.2020.4006.
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Evaluation of nasal mucociliary clearance time in children with celiac disease.乳糜泻患儿鼻黏膜纤毛清除时间的评估
Int J Pediatr Otorhinolaryngol. 2020 Jun;133:109936. doi: 10.1016/j.ijporl.2020.109936. Epub 2020 Feb 8.
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Management of psoriasis as a systemic disease: what is the evidence?银屑病作为一种全身性疾病的管理:证据有哪些?
Br J Dermatol. 2020 Apr;182(4):840-848. doi: 10.1111/bjd.18245. Epub 2019 Oct 15.