Doença atópica do compartimento central

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

doi:10.34631/sporl.2100

Autores

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

Palavras-chave:

Doença Atópica do Compartimento Central, Rinossinusite crónica, Polipose Nasal, Rinite alérgica, Alergia

Resumo

Objetivos: Sistematizar a evidência científica existente em relação à patologia “Doença Atópica do Compartimento Central” (DACC).
Desenho do Estudo: Revisão Bibliográfica Sistemática.
Material e Métodos: Realização de uma revisão bibliográfica sistemática nas bases de dados MEDLINE, Cochrane Central Register of Controlled Trials e Cumulative Index to Nursing and Allied Health Literature, baseada no modelo PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), selecionando trabalhos publicados entre janeiro de 2010 e dezembro de 2022.
Resultados: Dos 3114 estudos inicialmente encontrados, foram selecionados para análise na integra um total de 13 artigos. Mais de metade dos artigos (69.2%) foram publicados a partir do ano de 2019, inclusive. Um total de 1780 doentes com RSC foi analisado. Destes, o número de doentes com DACC foi 372 (20.9%), com um rácio masculino:feminino de 2.16. Identificaram-se como comorbilidades a rinite alérgica (98,5%), a asma (25.2%) e o tabagismo (8.2%).
Conclusões: DACC representa uma variante de RSC descrita pela primeira vez em 2017. Está associada à exposição a alergénios inalatórios e com repercussões edematosas e polipóides nos cornetos médios e superiores, bem como na região postero-superior do septo nasal. A base da gestão desta patologia é o tratamento médico da alergia, complementado, se necessário, com cirurgia endoscópica nasossinusal.

Referências

White LJ, Rotella MR, DelGaudio JM. Polypoid changes of the middle turbinate as an indicator of atopic disease. Int Forum Allergy Rhinol. 2014 May;4(5):376-80. DOI: https://doi.org/10.1002/alr.21290

Hamizan AW, Christensen JM, Ebenzer J, Oakley G, Tattersall J, Sacks R. et al. Middle turbinate edema as a diagnostic marker of inhalant allergy. Int Forum Allergy Rhinol. 2017 Jan;7(1):37-42. DOI: https://doi.org/10.1002/alr.21835.

Brunner JP, Jawad BA, McCoul ED. Polypoid change of the middle turbinate and paranasal sinus polyposis are distinct entities. Otolaryngol Head Neck Surg. 2017 Sep;157(3):519-523. DOI: https://doi.org/10.1177/0194599817711887.

DelGaudio JM, Loftus PA, Hamizan AW, Harvey RJ, Wise SK. Central compartment atopic disease. Am J Rhinol Allergy. 2017 Jul 1;31(4):228-234. DOI: https://doi.org/10.2500/ajra.2017.31.4443.

Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S. et al. European Position Paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020 Feb 20;58(Suppl S29):1-464. DOI: https://doi.org/10.4193/Rhin20.600.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29:372:n71. DOI: https://doi.org/10.1136/bmj.n71.

Hamizan AW, Loftus PA, Alvarado R, Ho J, Kalish L, Sacks R. et al. Allergic phenotype of chronic rhinosinusitis based on radiologic pattern of disease. Laryngoscope. 2018 Sep;128(9):2015-2021.DOI: https://doi.org/10.1002/lary.27180.

Marcus S, Roland LT, DelGaudio JM, Wise SK. The relationship between allergy and chronic rhinosinusitis. Laryngoscope Investig Otolaryngol. 2018 Dec 20;4(1):13-17 DOI: https://doi.org/10.1002/lio2.236.

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.

Grayson JW. Cavada M. Harvey R. Clinically relevant phenotypes in chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 2019 May 29;48(1):23. DOI: https://doi.org/10.1186/s40463-019-0350-y.

Ho J, Alvarado R, Rimmer J, Sewell WA, Harvey RJ. Atopy in chronic rhinosinusitis: impact on quality of life outcomes. Int Forum Allergy Rhinol. 2019 May;9(5):501-507. DOI: https://doi.org/10.1002/alr.22272.

Marcus S, DelGaudio JM, Roland LT, Wise SK. Chronic rhinosinusitis: does allergy play a role? Med Sci (Basel). 2019 Feb 18;7(2):30. DOI: https://doi.org/10.3390/medsci7020030.

Marcus S, Schertzer J, Roland LT, Wise SK, Levy JM, DelGaudio JM. Central compartment atopic disease: prevalence of allergy and asthma compared with other subtypes of chronic rhinosinusitis with nasal polyps. Int Forum Allergy Rhinol. 2020 Feb;10(2):183-189. DOI: https://doi.org/10.1002/alr.22454.

Helman SN, Barrow E, Edwards T, DelGaudio JM, Levy JM, Wise SK. The role of allergic rhinitis in chronic rhinosinusitis. Immunol Allergy Clin North Am. 2020 May;40(2):201-214. DOI: https://doi.org/10.1016/j.iac.2019.12.010.

Roland LT, Marcus S, Schertzer JS, Wise SK, Levy JM, DelGaudio JM. Computed tomography findings can help identify different chronic rhinosinusitis with nasal polyp phenotypes. Am J Rhinol Allergy. 2020 Sep;34(5):679-685. DOI: https://doi.org/10.1177/1945892420923926.

Lee K, Kim TH, Lee SH, Kang CH, Je BK, Oh S. Predictive value of radiologic central compartment atopic disease for identifying allergy and asthma in pediatric patients. Ear Nose Throat J. 2022 Nov;101(9):593-599 DOI: https://doi.org/10.1177/0145561321997546.

Kong W, Wu Q, Chen Y, Ren Y, Wang W, Zheng R. et al. Chinese central compartment atopic disease: the clinical characteristics and cellular endotypes based on whole-slide imaging. J Asthma Allergy. 2022 Mar 15:15:341-352DOI: https://doi.org/10.2147/JAA.S350837.

Muñoz del Castillo F, Jurado-Ramos A, Fernández-Conde BL, Soler R, Barasona MJ, Cantillo E. et al. Allergenic profile of nasal polyposis. J Investig Allergol Clin Immunol. 2009;19(2):110-6.

Gelincik A, Büyüköztürk S, Aslan I, Aydin S, Ozşeker F, Colakoğlu B. et al. Allergic vs nonallergic rhinitis: which is more predisposing to chronic rhinosinusitis? Ann Allergy Asthma Immunol. 2008 Jul;101(1):18-22. DOI: https://doi.org/10.1016/S1081-1206(10)60829-0.

Sedaghat AR, Gray ST, Chambers KJ, Wilke CO, Caradonna DS. Sinonasal anatomic variants and asthma are associated with faster development of chronic rhinosinusitis in patients with allergic rhinitis. Int Forum Allergy Rhinol. 2013 Sep;3(9):755-61. DOI: https://doi.org/10.1002/alr.21163

Schertzer JS, Levy JM, Wise SK, Magliocca KR, DelGaudio JM. Is respiratory epithelial adenomatoid hamartoma related to central compartment atopic disease? Am J Rhinol Allergy. 2020 Sep;34(5):610-617. DOI: https://doi.org/10.1177/1945892420914212.

Jang DW, Comer BT, Lachanas VA, Kountakis SE. Aspirin sensitivity does not compromise quality-of-life outcomes in patients with Samter's triad. Laryngoscope. 2014 Jan;124(1):34-7. DOI: https://doi.org/ 10.1002/lary.24220.

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.

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