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[Nasal remodeling in patient with perennial allergic rhinitis]
Patricia Montero Mora1, Enrique Blanco, Juan José Matta Campos
1Servicio de alergia e inmunología clínica, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Av. Cuauhtémoc 330, col. Doctores, CP 06720, México, DF.
Background:
Remodeling is considered a new or different reconstruction of tissues. The airway remodeling is a consequence of changes induced by endothelial cells and extra-cellular matrix as a result of chronic inflammation.
Objective:
To show histological changes into mucosa in patients with perennial allergic rhinitis.
Material And Methods:
We studied 26 patients with perennial allergic rhinitis, with evolution of 3 to 6 years, between 20 to 40 years old, without medical or immunological treatment. A turbinate biopsy was taken in all of them.
Results:
We found enlargement of the basal membrane in 92.3%, subepithelial fibrosis in 92.4%, neutrophils in 100% of the cases, eosinophils in 100%, lymphocytes in 100%, edema in 46.2%, fragmented reticular fibers in 19.2%, and vascular dilatation in 11.1%.
Conclusion:
These results suggest nasal remodeling in patients with allergic rhinitis, although more structural studies about this pathology are necessary.