Losada Cosmes E, García Cañadillas F, Sainz Martín T, Díez Gómez M L, Hinojosa Macias M
Allergol Immunopathol (Madr). 1984 Jul-Aug;12(4):283-8.
162 patients with different patterns of rhinitis were studied. In 94 a diagnosis of allergic rhinitis was made. The remaining 68 were considered as nonallergic rhinitis. In the allergic group, 64 had seasonal allergic rhinitis. 24 of them were studied during the hay fever season and 40 out of the hay fever season. Positive nasal smear eosinophilia (up to 10%) was found in 56 of 96 patients from the allergic group (59.5%), 21 of them had perenneal allergic rhinitis and 35 had seasonal allergic, of those 20 were studied during the hay fever season. In the non allergic group, 35 were diagnosed as intrinsic rhinitis and 33 as cholinergic rhinitis. Positive nasal smear eosinophilia could be demonstrated in 15 out of 35 cases of intrinsic rhinitis (42.8%), but could not be shown in patients suffering from cholinergic rhinitis. Peripheral blood eosinophilic cells were found in normal values in all patients in spite of the character of the rhinitis. These results suggest that nasal smear eosinophilic cells count is a useful orientative datum in the diagnosis of allergic and intrinsic rhinitis (59.5% and 42.8% respectively in our cases) but is not useful in the diagnosis of cholinergic rhinitis (not one out of 33 cases). Blood eosinophil cells count had no value in nasal allergy diagnosis.
对162例患有不同类型鼻炎的患者进行了研究。其中94例被诊断为过敏性鼻炎。其余68例被视为非过敏性鼻炎。在过敏组中,64例患有季节性过敏性鼻炎。其中24例在花粉热季节进行研究,40例在花粉热季节之外进行研究。在过敏组的96例患者中,56例(59.5%)鼻涂片嗜酸性粒细胞呈阳性(高达10%),其中21例患有常年性过敏性鼻炎,35例患有季节性过敏性鼻炎,其中20例在花粉热季节进行研究。在非过敏组中,35例被诊断为内源性鼻炎,33例被诊断为胆碱能性鼻炎。在35例内源性鼻炎患者中,15例(42.8%)鼻涂片嗜酸性粒细胞呈阳性,但胆碱能性鼻炎患者未出现该情况。尽管鼻炎类型不同,但所有患者外周血嗜酸性粒细胞均在正常范围内。这些结果表明,鼻涂片嗜酸性粒细胞计数在过敏性鼻炎和内源性鼻炎的诊断中是一个有用的参考数据(在我们的病例中分别为59.5%和42.8%),但在胆碱能性鼻炎的诊断中无用(33例中无一例)。血液嗜酸性粒细胞计数在鼻过敏诊断中无价值。