Ercan PINAR, Feda BOLAT, Semih ÖNCEL, Çağlar ÇALLI

Alerjik rinit ve nonalerjik rinit eozinofilik sendromlu hastalarda bilgisayarlı tomografi evresi

Her bir sinüs 0’dan 2’ye kadar bir skalayla derecelendirilir. 0: Hastalık yok; 1: Parsiyel opasifikasyon; 2: Komplet opasifikasyon. *Osteomeatal kompleks yalnızca 0 veya 2 olarak derecelendirilir

Anahtar Kelimeler:

Rinit, allerjik, perennial/tanı/immünoloji, hastalık fliddet indeksi, sinüzit/tanı/fizyopatoloji, cilt testi, bilgisayarlı tomografi

Computed tomography stage in patients with allergic rhinitis and nonallergic rhinitis with eosinophilia syndrome

Objectives: To compare computed tomography CT scores and nasal eosinophilia between patients with allergic rhinitis and nonallergic rhinitis with eosinophil ia syndrome NARES and to evaluate the effect of the number of responsible allergens on the CT scores.Patients and Methods: Sixty-three patients with a positiveskin pricktest, 11 patients with NARES and 15 healthy volunteers were included in this study. Allergic rhinitis patients were divided into three groups accord- ing to sensitivity to one allergen, two allergens, and more than two allergens. AH the patients were exam- ined by paranasal CT seans. The mean CT scores were determined by using the Lund-Mackay grading system and the results were compared.Results: The mean CT scores were 5.4±5.8, 15.6±6.2, and 1.0±0.6 in patients with allergic rhini tis and NARES and in the control group, respeetively. The mean CT score and eosinophilia in nasal smears were significantly higher in NARES patients compared to those with allergic rhinitis p0.05 .Conclusion: Although the paranasal sinuses are affected by both allergic rhinitis and NARES, this effect is greater in NARES. The number of allergens causing sensitivity does not influence the CT score.

Keywords:

Rhinitis allergic, perennial/diagnosis/ immunology, severity of illness index, sinusitis/diagnosis/physiopathology, skin tests, tomography, x-ray computed,

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Krouse JH. Computed tomography stage, allergy test- ing, and quality of life in patients with sinusitis. Otolaryngol Head Neck Surg 2000;123:389-92.
Krause HF. Allergy and chronic rh i n o s i n u s i t i s . Otolaryngol Head Neck Surg 2003;128:14-6.
Benninger MS, Senior BA. The development of the rhi- nosinusitis disability index. Arch Otolaryngol Head Neck Surg 1997;123:1175-9.
Basut O, Tezel İ, Onart S, Eriflen L. Alerjik rinit tanısında basit sitolojik bir yöntemin güvenilirli inin de erlendirilmesi. Kulak Burun Bo az Klinikleri 1999;1:142-4.
Ungan M, Müderris S, Kunt T, Öztürkcan S. Alerjik rinitli hastalarda prick testi ve total IgE sonuçlarının de erlendirilmesi. Kulak Burun Bo az Ihtis Derg 1999;6:199-202.
Ö retmeno lu O. Nares ve vazomotor rinit. In: Önerci M, editör. Allerjik rinosinüzitler. 1. baskı. Ankara: Rekmay Ltd; 2002. s. 143-54.
Gerek M. Allerjik rinitte nazal sitoloji. In: Önerci M, e d i t ö r. Allerjik rinosinüzitler. 1. baskı. Ankara: Rekmay Ltd; 2002. s. 48-52.
Krzeski A, Tomaszewska E, Jakubczyk I, Galewicz- Zielinska A. Anatomic variations of the lateral nasal wall in the computed tomography scans of patients with chronic rhinosinusitis. Am J Rhinol 2001;15:371-5.
Lund VJ, Kennedy DW. Staging for rhinosinusitis. Otolaryngol Head Neck Surg 1997;117(3 Pt 2):S35-40.
Ashraf N, Bhattacharyya N. Determination of the “incidental” Lund score for the staging of chronic rhi- nosinusitis. Otolaryngol Head Neck Surg 2001;125: 483-6.
Arango P, Kountakis SE. Significance of computed tomography pathology in chronic rh i n o s i n u s i t i s . Laryngoscope 2001;111:1779-82.
Kenny TJ, Duncavage J, Bracikowski J, Yildirim A, Murray JJ, Tanner SB. Prospective analysis of sinus symptoms and correlation with paranasal computed tomography scan. Otolaryngol Head Neck Surg 2001;125:40-3.
Emanuel IA, Shah SB. Chronic rhinosinusitis: allergy and sinus computed tomography re l a t i o n s h i p s . Otolaryngol Head Neck Surg 2000;123:687-91.
Szucs E, Ravandi S, Goossens A, Beel M, Clement PA. Eosinophilia in the ethmoid mucosa and its relation- ship to the severity of inflammation in chronic rhinos- inusitis. Am J Rhinol 2002;16:131-4.
Ramadan HH, Fornelli R, Ortiz AO, Rodman S. Correlation of allergy and severity of sinus disease. Am J Rhinol 1999;13:345-7.
Zadeh MH, Banthia V, Anand VK, Huang C. Significance of eosinophilia in chronic rhinosinusitis. Am J Rhinol 2002;16:313-7.
Bhattacharyya N, Fried MP. Peripheral eosinophilia in the diagnosis of chronic rhinosinusitis. Am J Otolaryngol 2001;22:116-20.
Bhattacharyya N, Vyas DK, Fechner FP, Gliklich RE, Metson R. Tissue eosinophilia in chronic sinusitis: quantification techniques. Arch Otolaryngol Head Neck Surg 2001;127:1102-5.