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Journal of Japan Society of Immunology & Allergology in Otolaryngology最新文献

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Surgical and medical treatment for intractable eosinophilic chronic rhinosinusitis 顽固性嗜酸性慢性鼻窦炎的外科与内科治疗
Pub Date : 1900-01-01 DOI: 10.5648/jjiao.37.261
K. Nomura
好酸球性副鼻腔炎とは,鼻ポリープ組織中の顕微鏡 400 倍視野において,好酸球数が 70個以上存在する慢性副鼻 腔炎である。アスピリン不耐症,NSAIDsアレルギー, 気管支喘息,末梢血好酸球増多,篩骨洞中心病変を伴うと 内視鏡手術後の再発が起こりやすい。 好酸球性副鼻腔炎の治療は鼻内内視鏡手術(Endoscopic Sinus Surgery, ESS) と術後の鼻洗浄, ステロイド点鼻, モンテルカストの内服である。ポリープはしばしば再発 し,確実な治療法は存在しない。 今回報告するのは,長期間の好酸球性副鼻腔炎罹患によ り前頭洞のう胞を発症した症例である。両側 ESSとDraf type III手術(Draf III) を行うも,術後経過中,鼻ポリープ が再増大したため,ステロイド,生物学的製剤などを投与 した。 本稿では通常の好酸球性副鼻腔炎の治療方針に加え,難 治性好酸球性副鼻腔炎に対するDraf IIIの適応,内服ステ ロイドの投与量・投与期間,生物学的製剤の投与につき解 説する。 症 例
嗜酸性粒细胞性鼻窦炎是指,在鼻息肉组织中400倍显微镜下,嗜酸性粒细胞数超过70个的慢性鼻窦炎。如果伴有阿司匹林不耐症、NSAIDs过敏、支气管哮喘、外周血嗜酸性粒细胞增多、筛骨窦中心病变,内窥镜手术后容易复发。嗜酸性粒细胞性鼻窦炎的治疗方法是鼻内窥镜手术(Endoscopic Sinus Surgery, ESS)和术后洗鼻、类固醇点鼻、口服montelcast。息肉常常复发,没有确切的治疗方法。这次报告的是,由于长期罹患嗜酸性粒细胞性鼻窦炎而导致额窦脑细胞发病的病例。虽然进行了双侧ESS和Draf type III手术(Draf III),但在术后过程中,由于鼻息肉再次增大,使用了类固醇、生物制剂等。在本文中,除了通常的嗜酸性粒细胞性鼻窦炎的治疗方针之外,还将对Draf III对难治性嗜酸性粒细胞性鼻窦炎的适应方法、内服类固醇的给药剂量和给药时间、生物制剂的给药进行说明。症例
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引用次数: 0
Sensitization to insects in urban or rural area, and their clinical and immunological features 城乡昆虫致敏情况及其临床和免疫学特征
Pub Date : 1900-01-01 DOI: 10.5648/jjiao.38.57
Aiko Oka, Shougo Oyamada, Shinichiro Oka, Sakiko Hurutate, Masahiro Takahashi, S. Iwasaki, Maki Akamatsu, Y. Noguchi, S. Kariya, Kengo Kanai, S. Makihara, K. Nishizaki, M. Okano
Background: Prevalence of sensitization to insects and its clinical and immunological features remains largely unclear in Japan. Patients and methods: The study includes 524 patients (316 from International University of Health and Welfare (IUHW) Mita Hospital in Tokyo and 208 from IUHW Hospital in Tochigi) who complained of nasal symptoms and underwent ImmunoCAP IgE tests. We compared the ratio of insect sensitization (moth, chironomid and cockroach) in Tokyo and Tochigi and investigated the clinical and immunological features of the patients, focusing particularly on those with sensitization to insects alone. Results: The ratio of sensitization to moth, chironomid and cockroach were 30.7%, 10.0% and 10.6% in Tokyo, and 26.4%, 10.6% and 12.5% in Tochigi, respectively. The geographical comparison showed no significant difference. Among the insect allergic patients, 95.1% were sensitized to the moth. In comparison to those insensitive to arthropods, the group of patients sensitized to insects was male dominant and indicated higher total IgE. The group of those sensitized only to insects was relatively older than that of those sensitive to not only insects but also other inhaled allergens. Conclusion: The study showed the high ratio of sensitization to the moth carried significance of the moth as an allergen in allergic rhinitis. The ratio of insect sensitization showed no significant different between urban and rural area. Patients sensitized to insects alone were dominated by elderly male with high total IgE.
背景:在日本,昆虫致敏的患病率及其临床和免疫学特征仍不清楚。患者和方法:该研究包括524例患者(316例来自东京国际卫生福利大学三田医院,208例来自枥木国际卫生福利大学医院),他们抱怨有鼻症状并进行了免疫cap IgE测试。比较了东京都和枥木地区昆虫致敏率(飞蛾、蠓和蜚蠊),并调查了患者的临床和免疫学特征,重点研究了仅对昆虫致敏的患者。结果:东京都对飞蛾、蠓和蜚蠊的致敏率分别为30.7%、10.0%和10.6%,枥木市对飞蛾、蠓和蜚蠊的致敏率分别为26.4%、10.6%和12.5%。地域比较无显著差异。昆虫过敏患者中,对飞蛾过敏的占95.1%。与节肢动物不敏感组相比,昆虫敏感组以男性为主,总IgE较高。仅对昆虫敏感的组比既对昆虫敏感又对其他吸入过敏原敏感的组年龄相对较大。结论:对飞蛾的高致敏率具有飞蛾作为变应性鼻炎变应原的意义。昆虫致敏率城乡差异不显著。单虫致敏患者以总IgE高的老年男性为主。
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引用次数: 0
Arachidonic acid metabolites-induced activation of group 2 innate lymphoid cell in eosinophilic upper airway inflammation 花生四烯酸代谢物诱导嗜酸性上呼吸道炎症中2组先天淋巴样细胞的活化
Pub Date : 1900-01-01 DOI: 10.5648/jjiao.37.217
I. Tojima, Takeshi Shimizu
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引用次数: 0
挨拶 挨拶
Pub Date : 1900-01-01 DOI: 10.5648/jjiao.38.s1
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引用次数: 0
期刊
Journal of Japan Society of Immunology & Allergology in Otolaryngology
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