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寻常型银屑病患者鼻黏膜纤毛活动的评估

Evaluation of Nasal Mucociliary Activity in Patients with Psoriasis Vulgaris.

作者信息

Dündar Mehmet Akif, Temiz Selami Aykut, Tunçez İsmail Hakkı, Emre Elif, Emre Sadettin, Dursun Recep

机构信息

Necmettin Erbakan University Medical Faculty, Department of Ear Nose Throat.

Necmettin Erbakan University Medical Faculty, Department of Dermatology.

出版信息

Dermatol Pract Concept. 2025 Apr 1;15(2):5014. doi: 10.5826/dpc.1502a5014.

DOI:10.5826/dpc.1502a5014
PMID:40401856
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12090939/
Abstract

INTRODUCTION

Psoriasis, a chronic inflammatory dermatological condition, is marked by recurring periods of activity and quiescence. This persistent inflammation contributes to a range of associated health issues. The respiratory system relies on nasal mucociliary clearance as a fundamental defense mechanism. Mucociliary transport dysfunction is frequently observed in chronic inflammatory states.

OBJECTIVE

We aimed to determine the relationship between psoriasis and concomitant clinical conditions and nasal mucociliary clearance time (NMCT).

METHOD

We conducted a study to evaluate NMCTin 34 individuals diagnosed with psoriasis and a control group of 35 healthy individuals.

RESULTS

Our results revealed a statistically significant prolongation of NMCT in the psoriasis group (11.26 ± 2 minutes) compared to the control group (9.2 ± 1.85 minutes, P<0.001). Moreover, a positive correlation was identified between NMCT and both the duration of psoriasis and the Psoriasis Area and Severity Index (PASI). This suggests that impaired nasal mucociliary clearance in individuals with psoriasis, especially those with more severe disease, may elevate their vulnerability to infections of the sinuses and nasal passages.

CONCLUSION

This highlights the need to consider strategies for enhancing mucociliary function in this patient population.

摘要

引言

银屑病是一种慢性炎症性皮肤病,其特点是病情反复出现活动期和静止期。这种持续的炎症会引发一系列相关的健康问题。呼吸系统依赖鼻黏液纤毛清除作为一种基本的防御机制。黏液纤毛运输功能障碍在慢性炎症状态中经常出现。

目的

我们旨在确定银屑病与伴随的临床状况以及鼻黏液纤毛清除时间(NMCT)之间的关系。

方法

我们进行了一项研究,以评估34名被诊断为银屑病的个体和35名健康个体组成的对照组的鼻黏液纤毛清除时间。

结果

我们的结果显示,与对照组(9.2±1.85分钟,P<0.001)相比,银屑病组的鼻黏液纤毛清除时间在统计学上显著延长(11.26±2分钟)。此外,鼻黏液纤毛清除时间与银屑病病程以及银屑病面积和严重程度指数(PASI)之间均呈正相关。这表明银屑病患者,尤其是病情较严重的患者,其鼻黏液纤毛清除功能受损可能会增加他们鼻窦和鼻腔感染的易感性。

结论

这突出了需要考虑针对该患者群体增强黏液纤毛功能的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2643/12090939/6c71dd07fe06/dp1502a5014g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2643/12090939/0749dec4416d/dp1502a5014g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2643/12090939/6c71dd07fe06/dp1502a5014g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2643/12090939/0749dec4416d/dp1502a5014g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2643/12090939/6c71dd07fe06/dp1502a5014g002.jpg

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本文引用的文献

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Psoriasis associated with asthma and allergic rhinitis: a US-based cross-sectional study using the All of US Research Program.银屑病与哮喘和过敏性鼻炎相关:基于美国全因研究计划的横断面研究。
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The relationship between Covid-19 and mucociliary clearance.Covid-19 与黏液纤毛清除功能之间的关系。
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Assessment of mucociliary clearance as an indicator of nasal function in patients with COVID-19: a cross-sectional study.评估黏液纤毛清除功能作为新冠病毒病患者鼻腔功能指标的横断面研究
Eur Arch Otorhinolaryngol. 2021 Jun;278(6):1863-1868. doi: 10.1007/s00405-020-06457-y. Epub 2020 Nov 13.
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Is prenatal testosterone-estrogen balance associated with psoriasis?产前睾酮-雌激素平衡与银屑病有关吗?
Dermatol Ther. 2020 Nov;33(6):e14213. doi: 10.1111/dth.14213. Epub 2020 Sep 8.
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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
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Psoriasis and infection. A clinical practice narrative.银屑病与感染。临床实践叙事。
Australas J Dermatol. 2019 May;60(2):91-98. doi: 10.1111/ajd.12895. Epub 2018 Aug 5.
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