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Nasal secretion analysis in allergic rhinitis, cystic fibrosis, & nonallergic fibromyalgia (FM)/Chronic Fatigue Syndrome (CFS) subjects

  [ 41 votes ]   [ Discuss This Article ]
www.ProHealth.com • November 5, 1998


Rhinitis symptoms are present in approximately 70% of subjects
with fibromyalgia and chronic fatigue syndrome (FM/CFS).
Because only 35% to 50% have positive allergy skin tests,
nonallergic mechanisms may also play a role. To better
understand the mechanisms of nonallergic rhinitis in FM/CFS,
nasal lavages were performed, and markers of vascular
permeability, glandular secretion, and neutrophil and
eosinophil infiltration measured in 27 nonallergic FM/CFS, 7
allergic rhinitis, 7 cystic fibrosis, and 9 normal subjects.
Allergic rhinitis subjects had significantly increased
vascular permeability (IgG) and ECP levels. Cystic fibrosis
subjects had significantly higher elastase and total protein
levels. There were no significant differences between FM/CFS
and normal lavage fluids. Analysis of the constituents of
nasal mucus provides information about ongoing secretory
processes in rhinitis. There were no differences in the basal
secretion of these markers of vascular permeability,
submucosal gland serous cell secretion, eosinophil and
neutrophil degranulation in nonallergic FM/CFS subjects. This
suggests that constitutively active secretory processes that
regulate continuous production of nasal secretions are not
altered in FM/CFS. Future studies should examine alternative
mechanisms such as inducible, irritant-activated, or
reflex-mediated effects.

Baraniuk JN, Clauw D,Yuta A, Ali M, Gaumond E, Upadhyayula N,Fujita K, Shimizu T




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