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Upper airways reactions to cold air.
1Division of Allergy, Immunology, and Transplantation, National Institutes of Health, Bethesda, MD 20817-6601, USA.
Current Allergy and Asthma Reports
|April 18, 2008
Summary
Cold air exposure triggers rhinitis symptoms like runny nose and congestion. Anticholinergic medications effectively treat this condition by targeting nerve reflexes.
Area of Science:
- Otolaryngology
- Allergy and Immunology
Background:
- Cold air-induced rhinitis is a common condition affecting individuals with and without chronic nasal disease.
- Symptoms include rhinorrhea, nasal congestion, and burning sensations upon cold air exposure.
Purpose of the Study:
- To investigate the mechanisms underlying cold air-induced rhinitis.
- To explore the role of mast cell activation and sensory nerve stimulation.
Main Methods:
- Experimental nasal cold-air provocation was used to reproduce symptoms.
- Measurements assessed mast cell activation and sensory nerve stimulation.
Main Results:
- Nasal mast cell activation and sensory nerve stimulation were associated with symptom development.
- Cholinergic reflex activation by sensory nerves leads to rhinorrhea.
- Anticholinergic agents demonstrated high efficacy in symptom treatment.
Conclusions:
- Cold air-induced rhinitis involves sensory nerve activation and cholinergic reflexes.
- Individuals may have impaired compensatory mechanisms for water loss.
- Symptoms might represent the body's attempt to restore mucosal homeostasis.
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