Individualized treatment for allergic rhinitis based on key nasal clinical manifestations combined with histamine and leukotriene D4 levels
Autor: | Zhong Wen, Congxiang Shen, Guanxue Li, Huigang Wang, Fang Chen, Xinyu Zhang |
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Rok vydání: | 2020 |
Předmět: |
Cyclopropanes
Male 0301 basic medicine Disease Acetates Sneezing Gastroenterology Allergic rhinitis Leukotriene D4 chemistry.chemical_compound 0302 clinical medicine Anti-Allergic Agents Medicine Precision Medicine 030223 otorhinolaryngology Leucotrienos media_common Tratamento individualizado Leukotriene Loratadine Middle Aged lcsh:Otorhinolaryngology lcsh:RF1-547 Treatment efficacy Treatment Outcome Histamina Quinolines Drug Therapy Combination Female Nasal Obstruction Histamine Adult Drug Individualized treatment Leukotrienes medicine.medical_specialty Adolescent Visual analogue scale media_common.quotation_subject Sulfides Young Adult 03 medical and health sciences Internal medicine Humans RNA Messenger Receptors Histamine H1 Aged Receptors Leukotriene Clinical typing business.industry Rinite alérgica Rhinitis Allergic Nasal Mucosa 030104 developmental biology Otorhinolaryngology chemistry Tipificação clínica business Mometasone Furoate |
Zdroj: | Brazilian Journal of Otorhinolaryngology v.86 n.1 2020 Brazilian Journal of Otorhinolaryngology Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF) instacron:ABORL-CCF Brazilian Journal of Otorhinolaryngology, Vol 86, Iss 1, Pp 63-73 (2020) Brazilian Journal of Otorhinolaryngology, Volume: 86, Issue: 1, Pages: 63-73, Published: 30 MAR 2020 |
ISSN: | 1808-8694 |
DOI: | 10.1016/j.bjorl.2018.09.007 |
Popis: | Introduction: The types of allergic rhinitis are roughly classified based on the causative antigens, disease types, predilection time, and symptom severity. Objective: To examine the clinical typing and individualized treatment approach for allergic rhinitis and to determine the optimal treatment method for this disease using various drug combination therapies. Methods: A total of 108 participants with allergic rhinitis were divided into three groups based on symptoms. Subsequently, each group was further categorized into four subgroups based on the medications received. The efficacy of the treatments was evaluated using the visual analog scale VAS scores of the total and individual nasal symptoms, decline index of the symptom score, histamine and leukotriene levels, and mRNA and protein expression levels of histamine 1 and cysteinyl leukotriene 1 receptors. Results: Loratadine + mometasone furoate and loratadine + mometasone furoate + montelukast significantly improved the sneezing symptom and reduced the histamine levels compared with the other combination therapies (p |
Databáze: | OpenAIRE |
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