Yücel Abitter, Yavuz Cahit, Güllüev Mustafa, Yücel Hilal, Özsöz Ekrem, Çulha Sümeyye Gencer, Alan Mehmet Akif, Eryılmaz Mehmet Akif
Department of Otorhinolaryngology, University of Health Sciences, Konya City Hospital, Konya, Türkiye.
Department of Dermatology, Selçuk University, Konya, Türkiye.
Eur Arch Otorhinolaryngol. 2025 Feb;282(2):807-811. doi: 10.1007/s00405-024-09055-4. Epub 2024 Oct 30.
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.
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.
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.
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.
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。
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。
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。
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。