Oboma Yibala Ibor, Ekpenyong Bassey Okon, Umar Mohammed Sani, Nja Glory Mbe Egom, Chelimo Judith Jepkosgei, Igwe Matthew Chibunna, Bunu Umi Omar
Department of Medical Laboratory Sciences, School of Allied Health Sciences, Kampala International University Western Campus, Ishaka, Bushenyi, Uganda.
Department of Histopathology, Faculty of Medical Laboratory Science, Rivers State University Nkpolo - Oroworukwo, Port Harcourt, River State, Nigeria.
J Asthma Allergy. 2024 Dec 28;17:1333-1354. doi: 10.2147/JAA.S498641. eCollection 2024.
Allergies represent a significant and growing public health concern, affecting millions worldwide and burdening healthcare systems substantially. Accurate diagnosis and understanding of allergy is crucial for effective management and treatment. This review aims to explore the historical evolution, current advances, and prospects of histopathological and cytological techniques in allergy diagnosis, highlighting their crucial role in modern medicine. Major biomedical, public health, and imaging databases such as PubMed, Scopus, Web of Science, and EMBASE were used. The search strategy used include specific keywords and Medical Subject Headings (MeSH) terms related to histopathology, cytology, radiology, allergic diseases, and public health. Histopathological and cytological studies play a pivotal role in elucidating the underlying mechanisms of allergies, offering insights into the cellular and tissue-level changes associated with allergic responses. Histopathology reveals characteristic features such as inflammation, tissue remodeling, and the presence of specific immune cells like eosinophils and mast cells. Cytological analysis can detect cellular changes and abnormalities at a finer scale, providing a complementary perspective to histopathological findings. The correlation between histopathological and cytological findings is critical for achieving accurate and reliable diagnoses. Combined histopathological and cytological studies can reveal the extent of airway inflammation, epithelial damage, and immune cell infiltration, providing a robust basis for clinical decision-making. Recent advancements in diagnostic techniques have further revolutionized the field of allergy diagnosis. These technologies offer increased accuracy, speed, and reproducibility, making them invaluable in both clinical and research settings. Despite these advancements, several challenges and limitations persist. By integrating tissue-level and cellular-level analyses, clinicians can achieve more accurate diagnoses, tailor treatments to individual patients, and ultimately improve the quality of care for those suffering from allergies. In conclusion, histopathological and cytological correlation in allergy diagnosis provides a comprehensive framework for understanding and managing allergic conditions.
过敏是一个重大且日益严重的公共卫生问题,影响着全球数百万人,并给医疗系统带来了沉重负担。准确诊断和了解过敏对于有效管理和治疗至关重要。本综述旨在探讨组织病理学和细胞学技术在过敏诊断中的历史演变、当前进展及前景,突出它们在现代医学中的关键作用。使用了主要的生物医学、公共卫生和影像学数据库,如PubMed、Scopus、Web of Science和EMBASE。所采用的检索策略包括与组织病理学、细胞学、放射学、过敏性疾病和公共卫生相关的特定关键词和医学主题词(MeSH)。组织病理学和细胞学研究在阐明过敏的潜在机制方面发挥着关键作用,有助于深入了解与过敏反应相关的细胞和组织水平变化。组织病理学揭示了诸如炎症、组织重塑以及嗜酸性粒细胞和肥大细胞等特定免疫细胞的存在等特征。细胞学分析能够在更精细的层面检测细胞变化和异常,为组织病理学发现提供补充视角。组织病理学和细胞学发现之间的相关性对于实现准确可靠的诊断至关重要。组织病理学和细胞学联合研究能够揭示气道炎症的程度、上皮损伤和免疫细胞浸润情况,为临床决策提供有力依据。诊断技术的最新进展进一步革新了过敏诊断领域。这些技术提高了准确性、速度和可重复性,在临床和研究环境中都具有极高价值。尽管取得了这些进展,但仍存在一些挑战和局限性。通过整合组织水平和细胞水平的分析,临床医生能够实现更准确的诊断,为个体患者量身定制治疗方案,并最终提高对过敏患者的护理质量。总之,过敏诊断中的组织病理学和细胞学相关性为理解和管理过敏性疾病提供了一个全面的框架。