Doença atópica do compartimento central

Tiago Chantre; Ricardo Guedes Damaso; Pedro Brandão; Inês Alpoim Moreira; Mafalda Barroso; Herédio Sousa

doi:10.34631/sporl.2100

Authors

Tiago Chantre Centro Hospitalar Universitário Lisboa Central, Portugal https://orcid.org/0000-0002-0217-0981
Ricardo Guedes Damaso Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal https://orcid.org/0000-0003-2928-7570
Pedro Brandão Centro Hospitalar Universitário Lisboa Central, Portugal
Inês Alpoim Moreira Centro Hospitalar Universitário Lisboa Central, Portugal https://orcid.org/0000-0003-1043-4040
Mafalda Barroso Centro Hospitalar Universitário Lisboa Central, Portugal https://orcid.org/0000-0003-0132-9118
Herédio Sousa Centro Hospitalar Universitário Lisboa Central, Portugal

DOI:

https://doi.org/10.34631/sporl.2100

Keywords:

Central Compartment Atopic Disease, Chronic rhinosinusitis , Nasal Polyposis, Allergic Rhinitis, Allergy

Abstract

Objectives: To systematize the existing scientific evidence in relation to the pathology “Atopic Disease of the Central Compartment” (CCAD).
Study Design – Systematic Bibliographic Review.
Material and Methods: Conducting a systematic literature review in the MEDLINE, Cochrane Central Register of Controlled Trials and Cumulative Index to Nursing and Allied Health Literature databases, based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) model, selecting papers published between January 2010 and December 2022.
Results: Of the 3114 studies initially found, a total of 13 articles were selected for full analysis. More than half of the articles (69.2%) were published from 2019 onwards. A total of 1780 patients with CRS were analyzed. Of these, the number of patients with CHD was 372 (20.9%), with a male:female ratio of 2.16. Allergic rhinitis (98.5%), asthma (25.2%) and smoking (8.2%) were identified as comorbidities.
Conclusions: CCAD represents a variant of CRS described for the first time in 2017. It is associated with exposure to inhalational allergens and with edematous and polypoid repercussions in the middle and superior turbinates, as well as in the postero-superior region of the nasal septum. The basis of management of this pathology is medical treatment of the allergy, complemented, if necessary, with endoscopic sinus surgery.

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DelGaudio JM, Levy JM, Wise SK. Central compartment involvement in aspirin-exacerbated respiratory disease: the role of allergy and previous sinus surgery. Int Forum Allergy Rhinol. 2019 Sep;9(9):1017-1022. DOI: https://doi.org/10.1002/alr.22367.

Central compartment atopic disease

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