Abstract

Nasal symptoms in patients with NSAID hypersensitivity

Highlights

  • Hypersensitivity to aspirin/acetylsalicylic acid (ASA) and other nonsteroidal anti-inflammatory drugs (NSAID) has a prevalence of 1-2% in the general population [1]

  • It is recommended that patients with NSAID hypersensitivity are screened for sino-nasal symptoms and referred for ENT evaluation

  • chronic rhinosinusitis (CRS) was diagnosed based on symptoms and nasal rhinoscopy according to the European Position Paper on Rhinosinusitis and Nasal Polyps 2012 (EPOS)

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Summary

Introduction

Hypersensitivity to aspirin/acetylsalicylic acid (ASA) and other nonsteroidal anti-inflammatory drugs (NSAID) has a prevalence of 1-2% in the general population [1]. It manifests with a variety of reactions involving skin, respiratory tract and anaphylaxis. According to the classification system the majority of patient with CRS and NSAID hypersensitivity will be classified as having NSAIDs-exacerbated respiratory disease (NERD). In NERD the hypersensitivity reaction manifests primarily as bronchial obstruction, dyspnea, and nasal congestion/ rhinorrhea in patients with an underlying chronic airway respiratory disease (asthma/rhinosinusitis). Among patients with asthma and chronic rhinosinusitis (CRS) with nasal polyps the prevalence of NSAID hypersensitivity is 20 to 42% [4, 5]. The aim of this study was to estimate the prevalence of chronic rhinosinusitis in patients with NSAID hypersensitivity and to evaluate QoL and the need of ENT intervention

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