Nasal Polyposis Identifies An At Risk Phenotype Among Patients With Adult-Onset Asthma

Author(s):  
Marijke Amelink ◽  
SB de Nijs ◽  
Christa de Groot ◽  
Saeeda Lone-Laktif ◽  
S.M. Reinartz ◽  
...  
Keyword(s):  
At Risk ◽  
2019 ◽  
Vol 19 (10) ◽  
Author(s):  
Kathleen M. Gillespie ◽  
Anna E. Long

Abstract Purpose of Review Progression rate from islet autoimmunity to clinical diabetes is unpredictable. In this review, we focus on an intriguing group of slow progressors who have high-risk islet autoantibody profiles but some remain diabetes free for decades. Recent Findings Birth cohort studies show that islet autoimmunity presents early in life and approximately 70% of individuals with multiple islet autoantibodies develop clinical symptoms of diabetes within 10 years. Some “at risk” individuals however progress very slowly. Recent genetic studies confirm that approximately half of type 1 diabetes (T1D) is diagnosed in adulthood. This creates a conundrum; slow progressors cannot account for the number of cases diagnosed in the adult population. Summary There is a large “gap” in our understanding of the pathogenesis of adult onset T1D and a need for longitudinal studies to determine whether there are “at risk” adults in the general population; some of whom are rapid and some slow adult progressors.


2021 ◽  
Vol 14 (1) ◽  
pp. e236894
Author(s):  
Pedro Salvador ◽  
Francisco Moreira da Silva ◽  
Rui Fonseca

Woakes’ syndrome (WS) is a rare entity, defined as severe recalcitrant nasal polyposis with consecutive deformity of the nasal pyramid. WS occurs mainly in childhood and its aetiology remains unclear. We report a case of a 68-year old woman, with aspirin-exacerbated respiratory disease, who presented with recurrent nasal polyposis and progressive broadening of the nasal dorsum. CT scan revealed extensive bilateral nasal polyposis and diffuse osteitis, with anterior ethmoidal calcified lesions. The patient underwent revision endoscopic sinus surgery and nasal pyramid deformity was successfully managed without osteotomies.


1991 ◽  
Vol 40 (4) ◽  
pp. 425-428 ◽  
Author(s):  
Vickie L. Hannig ◽  
Jeanne R. Hopkins ◽  
H. Keith Johnson ◽  
John A. Phillips ◽  
Stephen T. Reeders

2012 ◽  
Vol 42 (5) ◽  
pp. 769-774 ◽  
Author(s):  
M. Amelink ◽  
S. B. de Nijs ◽  
M. Berger ◽  
E. J. Weersink ◽  
A. ten Brinke ◽  
...  

2008 ◽  
Vol 17 (6) ◽  
pp. 523-525 ◽  
Author(s):  
N. Lwiwski ◽  
C. R. Greenberg ◽  
A. A. Mhanni

2009 ◽  
Vol 106 (02) ◽  
pp. 113-116 ◽  
Author(s):  
M. Breidert ◽  
Th. Temelkova-Kurktschiev ◽  
M. Hanefeld ◽  
W. Leonhardt ◽  
A. Schmoeckel ◽  
...  

2011 ◽  
Vol 26 (S2) ◽  
pp. 2011-2011
Author(s):  
B.G. Schimmelmann

Over the last two decades, much progress in the prevention and early detection of first-episode psychosis has been achieved. And currently, the inclusion of a psychosis risk syndrome in DSM-V is discussed. But while differences between early-onset and adult-onset psychoses have frequently been pointed out, in the early detection of psychoses, developmental aspects are rarely considered, and results that have been derived from predominately adult samples, i.e., at-risk criteria are generally just transferred to children and adolescents. Emerging evidence from child and adolescent general population, birth cohort and clinical samples, however, question this unrestricted transferability of these results to younger age groups. This presentation will therefore outline the special aspects in the early detection of psychosis that should be considered in children and adolescents. The presentation will cover (i) evidence for the need of a validation of at-risk criteria in children and adolescents and (ii) evidence for a longer DUP in adolescent onset compared to adult onset psychosis and its clinical implications.


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