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Related Concept Videos

Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations01:19

Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations

Chronic Obstructive Pulmonary Disease, or COPD, is a long-term condition marked by persistent and only partially reversible airflow limitation. It involves two overlapping conditions—chronic bronchitis and emphysema—which often co-appear but differ in dominant symptoms and underlying mechanisms.Chronic Bronchitis FeaturesChronic bronchitis presents with a persistent productive cough and thick, sometimes purulent mucus due to airway inflammation, enlarged mucus glands, and goblet cell...
Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Common Respiratory Disorders01:31

Common Respiratory Disorders

Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Chronic Inflammation: Introduction01:12

Chronic Inflammation: Introduction

Chronic inflammation is a prolonged, dysregulated immune response that persists for weeks to years when the inciting stimulus is difficult to eradicate or when self‑antigens drive ongoing reactivity. Morphologically, it is defined by mononuclear cell infiltration, progressive tissue destruction, and concurrent attempts at healing via angiogenesis and fibrosis. Compared with acute inflammation, edema is less prominent while cellular infiltration predominates; triggers include persistent...

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Articles linked to this work by shared authors, journal, and citation graph.

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Novel Chronic Rhinosinusitis (CRS) Subtypes Based on Clinical Features and Response to Treatment.

The journal of allergy and clinical immunology. In practice·2025
Same author

Unblocking the Treatment Stalemate in Chronic Rhinosinusitis Without Nasal Polyposis (CRSsNP).

The journal of allergy and clinical immunology. In practice·2024
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International consensus statement on allergy and rhinology: rhinosinusitis 2021.

International forum of allergy & rhinology·2020
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Interleukin-33 activates regulatory T cells to suppress innate γδ T cell responses in the lung.

Nature immunology·2020
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Phenotypes of Chronic Rhinosinusitis.

The journal of allergy and clinical immunology. In practice·2020
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Endotype-Phenotype Correlation in Chronic Rhinosinusitis: Is It Time to Think Beyond Polyposis?

The journal of allergy and clinical immunology. In practice·2019

Related Experiment Video

Updated: Jul 14, 2026

Immunofluorescent Labeling in Nasal Mucosa Tissue Sections of Allergic Rhinitis Rats via Multicolor Immunoassay
06:08

Immunofluorescent Labeling in Nasal Mucosa Tissue Sections of Allergic Rhinitis Rats via Multicolor Immunoassay

Published on: September 22, 2023

Chronic rhinosinusitis patterns of illness.

Daniel L Hamilos1

  • 1Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Clinical Allergy and Immunology
|May 31, 2007
PubMed
Summary

Chronic rhinosinusitis (CRS) is a complex condition with various contributing factors. Identifying distinct clinical patterns in CRS without nasal polyps versus CRS with nasal polyps aids in understanding causes and guiding patient management.

Area of Science:

  • Otolaryngology
  • Immunology
  • Genetics

Background:

  • Chronic rhinosinusitis (CRS) is a multifactorial condition with genetic, infectious, immune, anatomic, allergic, and inflammatory influences.
  • Current diagnostic criteria rely on imprecise symptoms lacking specificity.
  • Distinct clinical patterns within CRS offer insights into underlying pathophysiology and aid management.

Purpose of the Study:

  • To delineate characteristic clinical patterns within chronic rhinosinusitis.
  • To provide a framework for clinical assessment and management of CRS patients.
  • To explore the multifactorial contributors to CRS pathophysiology.

Main Methods:

  • Analysis of clinical presentations and patient subgroups within CRS.
  • Identification of differentiating factors between CRS with and without nasal polyps (NP).

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Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice
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Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice

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Immunofluorescent Labeling in Nasal Mucosa Tissue Sections of Allergic Rhinitis Rats via Multicolor Immunoassay
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Published on: September 22, 2023

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice
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Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice

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  • Review of genetic, infectious, immune, anatomic, allergic, and inflammatory components.
  • Main Results:

    • CRS without NP is associated with facial pain, headache, recurrent infections, immune defects, and osteomyelitis.
    • CRS with NP correlates with male gender, anosmia, prior sinus surgery, asthma, aspirin sensitivity, dust mite allergy, and allergic fungal rhinosinusitis (AFRS).

    Conclusions:

    • Characteristic clinical patterns aid in understanding CRS heterogeneity.
    • Differentiating CRS subtypes informs targeted medical evaluation and treatment strategies.
    • Further chapters will detail pathophysiological factors and a stepwise management approach.