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국소알레르기비염의 최신지견

Title
국소알레르기비염의 최신지견
Author
조석현
Keywords
비염; Vasomotor rhinitis; Allergic rhinitis; Immunoglobulin E; Nasal provocation tests
Issue Date
2013-12
Publisher
대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회)(The Korean Academy of Pediatric Allergy and Respiratory Disease)
Citation
Allergy Asthma & Respiratory Disease. Vol. 1 No. 4 (2013) pg. 303, 6 p.
Abstract
Rhinitis is a common airway disease that can affect patient’s quality of life and social activities. Rhinitis comprises heterogenous diseases and classified as allergic rhinitis (AR) or nonallergic rhinitis (NAR) based on the clinical history, skin prick test, and serum-specific IgE to aeroallergens. It is important to differentiate between AR and NAR, as management differs for each. However, classification of NAR is controversial and the specific mechanisms responsible for NAR remain unclear. Recently, the entopy of local allergic rhinitis (LAR) has been raised if positive response to nasal provocation test, and elevated specific IgE and inflammatory mediators such as tryptase and eosinophilic cationic peptide in the nasal lavage fluids are shown in patients with NAR. About 47.62.5% of patients previously diagnosed with NAR actually have LAR. LAR shares similar nasal symptoms with AR, such as itching, sneezing, rhinorrhea, and nasal obstruction. LAR shows a good response to nasal corticosteroids and oral antihistamines. However, its natural history and role of immunotherapy need to be elucidated. (Allergy Asthma Respir Dis 2013;1:303-308)
URI
http://kiss.kstudy.com/thesis/thesis-view.asp?key=3258221http://hdl.handle.net/20.500.11754/45952
ISSN
2288-0402
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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