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VOLUME 7 , ISSUE 1 ( January-April, 2015 ) > List of Articles

RESEARCH ARTICLE

Clinicopathological Correlation between Peripheral Blood Eosinophilia and Inferior Turbinate Tissue Eosinophils

UP Santosh, Aniketh Shyamsunder Pandurangi

Citation Information : Santosh U, Pandurangi AS. Clinicopathological Correlation between Peripheral Blood Eosinophilia and Inferior Turbinate Tissue Eosinophils. Int J Otorhinolaryngol Clin 2015; 7 (1):6-8.

DOI: 10.5005/aijoc-7-1-6

License: CC BY-NC 3.0

Published Online: 01-03-2013

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Background and objectives

Allergic rhinitis affects up to 20% of the general population and is one of the most common reasons for presentations to the outpatient department. We hereby present a case series which attempts to have a correlation between tissue eosinophilia (inferior turbinate) and increased eosinophil count in blood (>440 cells/mm3).

Materials and methods

Thirty-six patients presented to the Outpatient Department of Bapuji Hospital and Chigateri General Hospital (Teaching Hospitals attached to JJM Medical College), Davangere, with nasal obstruction and symptoms suggestive of allergic rhinitis with turbinate hypertrophy who were posted for elective bilateral partial inferior turbinectomy with/without submucous resection/septoplasty. These patients had increased absolute eosinophil count in blood. Formalin fixed inferior turbinectomy specimens were routinely processed for histopathology. Eosinophils in the mucosa and submucosal region were counted by method of Shioda and Mishima.

Results

Ten patients out of 36 showing increased eosinophil count in blood show ‘significant eosinophilia’ in turbinates (27.7%).

Conclusion

Peripheral eosinophilia does not always correlate with tissue eosinophilia which opens up a possibility of using nasal mucosa biopsy for confirmation of presence of eosinophils. Further studies are needed to explore the demonstration of ‘activated’ tissue eosinophils in the diagnosis of allergic rhinitis.


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  1. Allergic Rhinitis. In: Gleeson M, et al, editors. Scott-Brown's Otolaryngology and Head and Neck Surgery. 7th ed. Edward Arnold 2008;2:1386–1407.
  2. Systemic immunologic and inflammatory aspects of allergic rhinitis. J Allergy Clin Immunol 2000;106(5):S247–250.
  3. Relative value of peripheral blood, secretion and tissue eosinophilia in the diagnosis of different patterns of allergic rhinitis. Ann Allergy 1976 Oct;37(4):280–284.
  4. Nasal tissue eosinophils in allergic rhinitis. Auris Nasus Larynx 1993;20(3):205–213.
  5. Immunohistology of the nasal mucosa in seasonal allergic rhinitis: increases in activated eosinophils and epithelial mast cells. J Allergy Clin Immunol 1992 April;89(4):877–883.
  6. Inflammatory mediators in allergic rhinitis and nasal polyposis. Arh Hig Rada Tokiskol 2011;62:341–348.
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