4/30/2008

Allergic rhinitis - a close partner of asthma

In recent years, allergic rhinitis in etiology, epidemiology, morbidity, clinical performance, and other aspects have taken place in a major change in the medical profession for allergic rhinitis and asthma (hereinafter referred to as "asthma") also has a new relationship Understanding and put forward some new ideas.

◆ rhinitis and asthma - a disease of the different performance

Allergic rhinitis and asthma is a common joint diseases, from top to bottom between the lumen the same respiratory tract, for mucosa, respiratory any part of a stimulus, such as the change should be original, pollutants, viruses, bacteria, and so may have a similar reaction.
Allergic rhinitis and asthma is not independent of the existence of the disease, they often use each other storage of coexistence in the same patients. Upper respiratory tract allergic diseases may be a systemic disease, because the pollen for use on the lower respiratory tract or provocation test, can lead to respiratory inflammatory response in the other end, that is, lower respiratory tract (bronchial) provocation test can cause nasal inflammation, and Nasal provocation test can cause lower respiratory inflammation. Some scholars believe that it also should be said that such patients suffering from respiratory allergic disease, without distinction between them is suffering from allergic rhinitis or asthma.

◆ nasal - respiratory allergic "birthplace"

Upper respiratory tract is the gas-defense respiratory irritant particles and the first line of defense. Nasal cavity and lower respiratory tract is the "guardian" as if the air filter and regulator for the lower respiratory tract to provide the most appropriate air. When stimulated by nasal or a disease, nasal function of the lower respiratory tract can play a direct role or reflection, induced asthma.

◆ rhinitis and asthma - airway inflammation all high response syndrome

Most of allergic rhinitis patients do not have asthma, and most people with asthma allergic rhinitis. About 80 percent of both asthma and allergic rhinitis Case Report shows that allergic rhinitis in asthma before or simultaneously with the onset of asthma, asthma that is an extension of allergic rhinitis, allergic rhinitis or asthma to "promote."

In view of allergic rhinitis and asthma is the same disease in the upper and lower respiratory tract of different manifestations, most scholars allergic rhinitis and asthma to the classification of diseases for the entire airway inflammation high response syndrome. Can be divided into three stages:
1, allergic rhinitis without bronchial asthma or high response.
2, allergic rhinitis have high bronchial response, but no asthma.
3, allergic rhinitis with asthma.

This is reflected in three phases of the different severity of the syndrome. Once established asthma, bronchial response to high performance for a lasting form.

◆ rhinitis - the risk factors of asthma

Allergic rhinitis in patients with asthma in the incidence rate of 20 percent to 40 percent, much higher than normal population of 2 percent to 5 percent, therefore, allergic rhinitis in patients with asthma risk of 8-20 times higher than normal. A considerable number of patients with asthma in an asthma attack before the symptoms of allergic rhinitis, such as timely for allergic rhinitis to take effective treatment measures, to prevent an asthma attack.
Allergic rhinitis is due to the risk factors of asthma, allergic rhinitis disease is no longer isolated, but complex syndrome, a systemic disease, the body is caused by abnormal immune function. Therefore treatment should be the main body, partially supplemented, in order to prevent asthma, nasal inflammation control purposes.

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