Enzmann H
Fortschr Med. 1980 May 22;98(19):745-51.
Synonyms: cell-mediated allergy, delayed-type reaction, allergy of type IV according to Coombs and Gell), investigations into morphology and pathogenesis. The tuberculin reaction in guinea pigs was used as test model. Rhinorheomanometric studies supplemented by rhinoscopic and histological findings have provided evidence that an allergy of type IV in the Coombs and Gell classification can be provoked the nasal mucous membrane. It is also shown that the allergen quantities used in the intranasal challenge test can also react with the nasal mucosa under normal life conditions. Thus the provoked symptoms are similar to those of another disease already defined but under another name. Critical assessment of test results, immunological literature and the analysis of some delayed reaction challenge tests in human medicine are the reason for assuming clinical symptoms of hypertrophy probably preceding ozena to be the clinical correlation to a type IV reaction.
细胞介导的过敏反应、迟发型反应、根据库姆斯和盖尔分类法的IV型过敏反应),形态学和发病机制研究。豚鼠的结核菌素反应被用作测试模型。鼻阻力测量研究辅以鼻镜检查和组织学检查结果,证明在库姆斯和盖尔分类法中,IV型过敏反应可在鼻黏膜诱发。还表明,鼻内激发试验中使用的过敏原量在正常生活条件下也可与鼻黏膜发生反应。因此,诱发的症状与另一种已定义但名称不同的疾病的症状相似。对测试结果、免疫学文献的批判性评估以及对人类医学中一些迟发型反应激发试验的分析,是假设肥大的临床症状可能先于臭鼻症成为与IV型反应临床关联的原因。