Endotypes of chronic rhinosinusitis: Impact on management

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:145

Review

Cardell, Lars-Olaf^1,2  Stjarne, Par^1,2  Jonstam, Karin^1,2  Bachert, Claus^1,3,4 

[1] Karolinska Inst, Dept Clin Sci Intervent & Technol, Div ENT Dis, Stockholm, Sweden

[2] Karolinska Univ Hosp, Dept ENT Dis, Stockholm, Sweden

[3] Univ Ghent, Upper Airways Res Lab, Ghent, Belgium

[4] Univ Ghent, Dept Otorhinolaryngol, Ghent, Belgium

关键词: chronic rhinosinusitis;    nasal polyps;    endotypes;    type 2 inflammation;    surgery;    biologics;   

DOI  :  10.1016/j.jaci.2020.01.019

来源: Elsevier

【 摘 要 】

Following the trend in asthma, endotypes for chronic rhinosinusitis with nasal polyps have been established, with type 2 immune reactions representing >80% of nasal polyp cases in Europe and the United States. Endotyping is without doubt useful to predict the natural course of disease, to determine pharmacotherapy and the extent of surgery, and lately also to select patients for treatment with type 2 biologics. However, with the opening of this new era of treatment, limitations of the current possibilities in subgrouping patients also became apparent, as (1) mixed endotypes often can be found and (2) predictions as to the best biologic to be used in an individual patient are not yet possible. Some of the questions to address in the near future are discussed.

【 授权许可】

Free