Immunological Aspects Allergic Laryngitis: Role of Cellular and Humoral Mechanisms Directing Therapeutic Strategies

The aim of the study was to analyze the cellular and humoral mechanisms underlying the development of allergic laryngitis, to identify key diagnostic markers, and to evaluate the effectiveness of contemporary therapeutic approaches. The study examined the principal pathogenetic mechanisms of the disease, with particular emphasis on the Th2-mediated immune response, the role of cytokines IL-4, IL-5, and IL-13, immunoglobulin E (IgE), and mast cell degranulation, as well as current diagnostic methods, including laryngoscopy, skin testing, spirometry, and immunological assays. The findings confirm the leading role of Th2-dependent inflammation and IgE-mediated reactions in the development of laryngeal inflammation. The study concludes that allergen-specific immunotherapy combined with antihistamines and inhaled glucocorticosteroids is highly effective in improving symptom control and reducing the risk of relapse, supporting the integration of immunological markers and instrumental diagnostic methods to enhance diagnostic accuracy and enable personalized treatment strategies.