PMID- 33529479 OWN - NLM STAT- MEDLINE DCOM- 20210929 LR - 20210929 IS - 2042-6984 (Electronic) IS - 2042-6976 (Linking) VI - 11 IP - 7 DP - 2021 Jul TI - Clinical characteristics and cytokine profiles of central-compartment-type chronic rhinosinusitis. PG - 1064-1073 LID - 10.1002/alr.22759 [doi] AB - BACKGROUND: The clinical characteristics of central-compartment-type chronic rhinosinusitis (CRS) in East Asian individuals are not clear. We sought to investigate the clinical features and the cytokine profiles of central-compartment-type CRS in our patient group. METHODS: Adult patients diagnosed with bilateral CRS were recruited, and patients who had previously undergone sinus surgery and pansinusitis (Lund-Mackay scores >23) were excluded. Central-compartment-type CRS was defined by both endoscopic and radiological features. The symptoms, inhalant allergen sensitization status, endoscopic findings, and radiological assessments were recorded and compared between patients with central-compartment-type CRS and other types of CRS. We also examined the extent of tissue eosinophilia and specific cytokine protein levels (eosinophil cationic protein [ECP], myeloperoxidase [MPO], immunoglobulin E [IgE], interleukin [IL]-4, IL-5, and IL-13) in the sinonasal tissues. RESULTS: Central-compartment-type CRS was found in 16 (23.9%) patients, and non-central-compartment-type CRS was found in 51 (76.1%) patients. Hyposmia or anosmia as the major symptom was more common in the central-compartment-type CRS group. The numbers of eosinophils in tissue and serum were significantly higher in the central-compartment-type CRS patients. The presence of allergen sensitization was not significantly different between groups. The levels of IL-5 and IL-13 were increased in middle turbinate tissues of patients with central-compartment-type CRS. CONCLUSION: Central-compartment-type CRS was associated with hyposmia or anosmia, eosinophilic subtypes, and elevated levels of IL-5 and IL-13 in middle turbinate tissues but not necessarily correlated with allergic disease in our patients. CI - (c) 2021 ARS-AAOA, LLC. FAU - Lin, Yi-Tsen AU - Lin YT AUID- ORCID: 0000-0002-3696-2661 AD - Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. AD - Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. FAU - Lin, Chih-Feng AU - Lin CF AD - Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. FAU - Liao, Chun-Kang AU - Liao CK AUID- ORCID: 0000-0002-0037-1421 AD - Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. FAU - Chiang, Bor-Luen AU - Chiang BL AD - Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. FAU - Yeh, Te-Huei AU - Yeh TH AD - Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. AD - College of Medicine, National Taiwan University, Taipei, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210202 PL - United States TA - Int Forum Allergy Rhinol JT - International forum of allergy & rhinology JID - 101550261 RN - 0 (Cytokines) RN - 0 (Interleukin-13) SB - IM MH - Adult MH - Chronic Disease MH - Cytokines MH - Humans MH - Interleukin-13 MH - *Nasal Polyps MH - *Rhinitis MH - *Sinusitis OTO - NOTNLM OT - aeroallergens OT - allergic rhinitis OT - chronic rhinosinusitis OT - computed tomography EDAT- 2021/02/03 06:00 MHDA- 2021/09/30 06:00 CRDT- 2021/02/02 17:16 PHST- 2020/11/25 00:00 [revised] PHST- 2020/07/25 00:00 [received] PHST- 2020/12/06 00:00 [accepted] PHST- 2021/02/03 06:00 [pubmed] PHST- 2021/09/30 06:00 [medline] PHST- 2021/02/02 17:16 [entrez] AID - 10.1002/alr.22759 [doi] PST - ppublish SO - Int Forum Allergy Rhinol. 2021 Jul;11(7):1064-1073. doi: 10.1002/alr.22759. Epub 2021 Feb 2.