Nasal cytology in allergic rhinitis: Rare observation of pollen degranulation

Introduction: Radiofrequency turbinate volume reduction (RFTVR) is an effective treatment of inferior turbinate hypertrophy. RFTVR can reduce epithelial cell alterations in nasal mucosa. The aim of this observational study was to evaluate the effects of RFTVR on nasal obstruction and cytology, stratifying for different types of rhinitis. Methods: Nasal cytology and subjective nasal obstruction were evaluated on 113 patients before RFTVR (T0) and after 3 months (T1). The patients were divided into groups on the basis of the underlying disease: allergic rhinitis, nonallergic rhinitis, rhinitis medicamentosa, and other diseases (e.g., hormonal-based turbinate hypertrophy). Results: Nasal cytology at T0 identified 42 patients with allergic rhinitis, 40 with nonallergic rhinitis, 19 with rhinitis medicamentosa, and 12 with other diseases. An improvement of nasal cytology at T1 was observed in 29.2% of cases. They mainly consisted of patients with nonallergic rhinitis with neutrophils, whose neutrophil infiltrate decreased. Only 2 cases (1.7%) showed a worsening of nasal cytology at T1. A statistically significant decrease in subjective nasal obstruction was observed for every group (p < 0.05). Higher differences of nasal obstruction between T0 and T1 were found in patients with rhinitis medicamentosa or other diseases. Conclusion: RFTVR represents a safe and effective treatment for turbinate hypertrophy of various etiology. It is not responsible for a worsening of inflammatory infiltrate of the nasal mucosa.

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Effect of a moustache on nasal Staphylococcus aureus colonisation and nasal cytology results in men

The Journal of Laryngology & Otology ◽

10.1017/s002221511400334x ◽

2015 ◽

Vol 129 (2) ◽

pp. 155-158 ◽

Cited By ~ 2

Author(s):

E Soylu ◽

I Orhan ◽

A Cakir ◽

A Istanbullu ◽

G Altin ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Allergic Rhinitis ◽

Nasal Cavity ◽

Control Group ◽

Study Group ◽

Left Nasal Cavity ◽

Adult Men ◽

Nasal Cytology ◽

Non Allergic Rhinitis

AbstractObjective:This study compared the results of nasal Staphylococcus aureus carriage and nasal cytology in men with and without a moustache.Methods:The study group comprised 118 adult men with a moustache, and the control group consisted of 123 adult men without a moustache. Samples were taken from the participants' right nasal cavity for cytology and from the left nasal cavity for microbiology.Results:The results for S aureus were positive in 19.5 per cent (n = 23) of participants with a moustache and in 20.3 per cent (n = 25) of men without a moustache. This difference was not significant (p > 0.05). However, nasal cytology revealed rich eosinophil clusters in participants with a moustache.Conclusion:The presence or absence of a moustache had no effect on nasal S aureus colonisation. However, further research is needed to understand whether the presence of a moustache increases the risk of allergic or non-allergic rhinitis.

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Nasal cytology and uncommon findings in allergic rhinitis

Diagnostic Cytopathology ◽

10.1002/dc.24905 ◽

2021 ◽

Author(s):

Matteo Gelardi ◽

Eleonora M. C. Trecca ◽

Enrico de Lillo ◽

Michele Cassano

Keyword(s):

Allergic Rhinitis ◽

Nasal Cytology

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Efficacy of Hypertonic Saline Irrigation for Nasal Symptoms in Children with Perennial Allergic Rhinitis: A Randomized Double-Blind Study

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.10.12573 ◽

2021 ◽

Vol 104 (10) ◽

pp. 1570-1577

Keyword(s):

Allergic Rhinitis ◽

Side Effects ◽

Hypertonic Saline ◽

Symptom Score ◽

Nasal Congestion ◽

Nasal Symptom ◽

Perennial Allergic Rhinitis ◽

Saline Irrigation ◽

Nasal Irrigation ◽

Nasal Cytology

Background: Nasal saline irrigation was an adjunctive therapy of allergic rhinitis (AR). It has been suggested that the use of hypertonic saline (HS) is better than normal saline (NSS) in treatment of AR. Reduction of mucosal edema by hypertonicity induced water transport through nasal mucosa, nasal congestion reduction and mucociliary clearance improvement. Objective: To compare total nasal symptom score (TNSS) between 3% HS and NSS irrigation in perennial allergic rhinitis children. Materials and Methods: The present study was conducted at the Allergy Center of Bhumibol Adulyadej Hospital (BAH), Royal Thai Airforce, Bangkok, Thailand between January and March 2021. Sixty-two perennial AR children were enrolled and categorized in severity level, namely mild, moderate or severe. Subjects were randomized into two groups. Each participant was blind-randomized to nasal irrigation of either 3% HS or NSS twice-daily for 4 weeks by the same investigator. The primary outcome was TNSS improvement between both groups. Secondary outcomes were quality of life, nasal congestion severity improvement, nasal cytology change and side effects. Results: TNSS improvement of 3% HS was more than NSS group (4.03±2.36 versus 2.73±3.06, p=0.034). Nasal congestion was the only symptom that differed significantly between the two groups (1.32±1.01 in 3% HS versus 0.70±1.24 in NSS, p=0.024). Reduction of congestion severity by physical examination, nasal cytology changes and side effects were comparable. Conclusion: Nasal irrigation with 3% HS in children with perennial AR had more improvement than NSS in TNSS., especially nasal congestion. Keyword: Hypertonic saline; Nasal irrigation; Allergic rhinitis; Nasal symptom score

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Nasal Nitric Oxide and Nasal Cytology as Predictive Markers of Short-Term Sublingual Allergen-Specific Immunotherapy Efficacy in Children with Allergic Rhinitis

American Journal of Rhinology and Allergy ◽

10.1177/19458924211060592 ◽

2021 ◽

pp. 194589242110605

Author(s):

Giuseppe Fabio Parisi ◽

Sara Manti ◽

Maria Papale ◽

Melania Amato ◽

Amelia Licari ◽

...

Keyword(s):

Nitric Oxide ◽

Allergic Rhinitis ◽

Conventional Therapy ◽

House Dust Mites ◽

Dust Mites ◽

Short Term ◽

Allergen Specific Immunotherapy ◽

Nasal Nitric Oxide ◽

Nasal Cytology ◽

Term Response

Background Few studies have been conducted on the short-term response to sublingual immunotherapy (SLIT). Objective The purpose of our experimental trial was to evaluate if two markers such as nasal nitric oxide (nNO) and nasal cytology could be useful to identify a precocious clinical efficacy of SLIT treatment. Methods We enrolled 34 children aged 6 to 14 years old with diagnosis of allergic rhinitis (AR) and documented sensitization towards house dust mites. We started allergoid-monomeric tablets immunotherapy along with any conventional therapy for AR and we evaluated at baseline (T0), after one (T1), two (T2), three (T3), and six months (T6) the effects of the treatment through the study of: i) a visual analogue scale (VAS 1-10); ii) measurement of nNO; iii) measurement of FeNO; iv) nasal cytology; v) spirometry; and vi) evaluation of any conventional therapy. Results We observed an improvement in symptoms evaluated by global VAS (T0 vs. T6: 47.13 vs. 17.57; p < .05) and a statistically significant reduction of nNO (1035.2 ± 956.08 vs. 139.2 ± 59.01; p < .05). In this case, significance was reached when the patients completed the 6 months of treatment. Cytological evaluation revealed significant reduction in nasal eosinophils (T0 vs. T6: 87% vs. 16%; p < .01). Moreover, at T0, 56% of patients had also neutrophils that were reduced up to the 8% at T6 (p < .05). Conclusions Our data confirm the effectiveness of SLIT treatment from a clinical perspective and identifies two biomarkers, such as nNO and nasal cytology, as predictive of treatment efficacy in the short term.

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The Role of Nasal Cytology in the Diagnosis of Chronic Sinusitis

American Journal of Rhinology ◽

10.2500/105065889782024429 ◽

1989 ◽

Vol 3 (1) ◽

pp. 13-15 ◽

Cited By ~ 9

Author(s):

Fredrick F. Gill ◽

James B. Neiburger

Keyword(s):

Allergic Rhinitis ◽

High Power ◽

Chronic Sinusitis ◽

High Power Field ◽

Nasal Cytology ◽

Sinus Radiography

Currently the role of nasal cytology in the diagnosis of chronic sinusitis is not well defined. Therefore, we compared the results of nasal cytology with the results of sinus radiography in 300 patients with allergic rhinitis who had both tests performed as part of their initial allergy evaluation. Radiography was significantly more likely to be positive when there were >5 neutrophils/high-power field or <5 eosinophils/high-power field on nasal cytology. These findings were fairly sensitive but nonspecific as predictors of radiographic pathology.

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Nasal cytology in patients with allergic rhinitis: Effects of intranasal fluticasone propionate

Journal of Allergy and Clinical Immunology ◽

10.1016/0091-6749(94)90178-3 ◽

1994 ◽

Vol 94 (4) ◽

pp. 708-715 ◽

Cited By ~ 39

Author(s):

Eli O. Meltzer ◽

H. Alice Orgel ◽

Paula R. Rogenes ◽

Elizabeth A. Field

Keyword(s):

Allergic Rhinitis ◽

Fluticasone Propionate ◽

Nasal Cytology

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Assessment for Microsatellite DNA Instability in Nasal Cytology Samples of Patients with Allergic Rhinitis

American Journal of Rhinology ◽

10.2500/ajr.2007.21.2956 ◽

2007 ◽

Vol 21 (2) ◽

pp. 236-240 ◽

Cited By ~ 4

Author(s):

Alexander D. Karatzanis ◽

Katerina D. Samara ◽

Maria Zervou ◽

Eleni Tzortzaki ◽

Emmanuel S. Helidonis ◽

...

Keyword(s):

Allergic Rhinitis ◽

Microsatellite Dna ◽

Dna Instability ◽

Nasal Cytology

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Role of inflammation in non-allergic rhinitis

Rhinology Journal ◽

10.4193/rhino13.102 ◽

2014 ◽

Vol 52 (2) ◽

pp. 142-149

Author(s):

E. de Corso ◽

M. Battista ◽

M. Pandolfini ◽

L. Liberati ◽

S. Baroni ◽

...

Keyword(s):

Allergic Rhinitis ◽

Clinical Symptoms ◽

Diagnostic Algorithm ◽

Inflammatory Cell Infiltrate ◽

Level Of Evidence ◽

Cross Sectional ◽

Significant Difference ◽

Nasal Cytology ◽

Non Allergic Rhinitis

Objective: To investigate the role of inflammation in non-allergic rhinitis (NAR) patients in a large series to establish the prevalence of different NAR-subtypes, clinical features and the role of nasal cytology in the diagnostic algorithm. Methodology: Patients were selected out of 3650 individuals who spontaneously presented at our institution. We consecutively enrolled 519 NAR-patients in an analytical cross-sectional study between November 2007 and June 2013 (level of evidence: 3b). All patients underwent rhinological evaluation including symptoms questionnaire, endoscopy, CT scan, allergy tests and nasal cytology. Results: The inflammatory cell infiltrate affects the severity of symptoms differently, allowing for identification of different phenotypes of NAR. We distinguished two groups: “NAR without inflammation”(NAR-) and “NAR with inflammation”(NAR+), in addition to different NAR-subtypes with inflammation. A significant difference was observed in terms of clinical symptoms and association with comorbidities (previously diagnosed asthma and aspirin intolerance) between NAR–, NAR+ and between different NAR+ subtypes. Conclusion: Our data suggest that NAR- and NAR with neutrophils behave similarly, showing lower symptom score values and a lower risk of association with comorbidities compared to NAR with eosinophils and mast cells (singularly or mixed). In our belief it is very important to establish the presence and type of inflammation in non-allergic rhinitis patients and nasal cytology is a very useful test in correct differential diagnosis.

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