Evidence map›Paper›PMID 30846420›Full record

ArticleBrazilian journal of otorhinolaryngology

Nasal lavage cytology and mucosal histopathological alterations in patients with rhinitis.

Loreni C S Kovalhuk, Ederaldo Queiroz Telles, Monica Nunes Lima, Nelson A Rosario Filho

Open access · goldAbstract read
In one paragraph

Article in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Air pollution and rhinitis.Frontiers in allergy · 2024
    Review
  8. Review
  9. Article
  10. Pharmaceutics · 2023
    Article
  11. Turbinate Hypertrophy, Allergic Rhinitis, and Otitis Media.Current allergy and asthma reports · 2021
    Review
  12. Article
  13. Diagnostic Tools in Allergic Rhinitis.Frontiers in allergy · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Loreni C S KovalhukUniversidade Federal do Paraná (UFPR), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Curitiba, PR, Brazil.
Ederaldo Queiroz TellesUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.
Monica Nunes LimaUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.
Nelson A Rosario FilhoUniversidade Federal do Paraná (UFPR), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Curitiba, PR, Brazil; Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil. Electronic address: nelson.rosario@ufpr.br.
Universidade Federal do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe extent of epithelial lesion in allergic and non-allergic rhinitis and its association with inflammatory changes in nasal lavage has not been clarified.

objectiveTo verify the association between the inflammatory cells in the nasal lavage, epithelial lesion extent and basement membrane thickness, in the nasal mucosa of patients with rhinitis; to determine the cutoff point of the percentage of eosinophils in the nasal lavage associated with the atopic patients.

methodsPatients with rhinitis and indication for septoplasty and (or) turbinectomy for turbinate hypertrophy were selected, and were submitted to allergy skin tests, nasal lavage with measurement of albumin and interleukin-8 levels, total and differential counting of cells, and mucosal histopathological analysis to determine the extent of epithelial lesion, and degree of basement membrane thickening.

resultsFifty-six patients with a median age of 24.5 years and a diagnosis of allergic rhinitis (n=36) and non-allergic rhinitis (n=20) were studied. In atopic subjects, allergy skin tests were positive for Dermatophagoides pteronyssinus in 35 (97.0%) and Lolium perenne in 18 (50.0%). Atopic subjects showed a higher clinical score index of rhinitis compared to non-atopic ones. The total count of cells, neutrophils, and levels of albumin and IL-8 were not different in the nasal lavage of atopic and non-atopic subjects. The cutoff point for eosinophil count in nasal fluid for the distinction between allergic rhinitis and non-allergic rhinitis was 4%. Some degree of epithelial lesion was more frequent in allergic rhinitis (94%) than in non-allergic rhinitis (65%) patients. In the presence of basement membrane thickness, as a marker of remodeling, there was no difference in the nasal lavage of patients with allergic rhinitis and non-allergic rhinitis.

conclusionIn this series, 4% was the cutoff point for the number of eosinophils in the nasal lavage, for atopy differentiation. Upper airway remodeling accessed by basement membrane thickness showed similar inflammatory cell infiltrate in the nasal lavage, regardless of the presence of atopy.

Indexed as

RhinitisEosinophilsHumansNasal LavageNasal MucosaYoung AdultAirway remodelingAllergic rhinitisBasement membraneEosinófiloEosinophilMembrana basalRemodelamento da via aéreaRinite alérgica

Identifiers

PMID30846420
PMCPMC9422499
OpenAlexW2915126848

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.