Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid

It  is  well  known  that  desensitization  treatment  with  aspirin  can  significantly  improve symptoms and quality of life in patient with aspirin-exacerbated respiratory disease. However, its mechanism has not been clearly understood yet. In this case report, 41-year-old male patient was referr...

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Main Authors: Ali Kutlu, Murat Salihoglu, Aptullah Haholu, Enver Cesmeci, Hakan Cincik, Sami Ozturk
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2013-12-01
Series:Iranian Journal of Allergy, Asthma and Immunology
Subjects:
Online Access:https://ijaai.tums.ac.ir/index.php/ijaai/article/view/485
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author Ali Kutlu
Murat Salihoglu
Aptullah Haholu
Enver Cesmeci
Hakan Cincik
Sami Ozturk
author_facet Ali Kutlu
Murat Salihoglu
Aptullah Haholu
Enver Cesmeci
Hakan Cincik
Sami Ozturk
author_sort Ali Kutlu
collection DOAJ
description It  is  well  known  that  desensitization  treatment  with  aspirin  can  significantly  improve symptoms and quality of life in patient with aspirin-exacerbated respiratory disease. However, its mechanism has not been clearly understood yet. In this case report, 41-year-old male patient was referred to our allergy and immunology department with complaints of chronic rhinosinusitis including postnasal discharge, sneezing, facial pain/pressure, waking up tired, nasal obstruction, smell loss for a long time. According to the patient, the complaints were controlled partially with nasal steroid and antihistamines, and single dose parenteral depot steroids were highly effective in controlling the symptoms and each time this effect lasted at least three weeks. The patient was told to use aspirin when needed analgesic and he started to use aspirin 500 mg bid. po for 10 days for his pain in the joints. The patient stressed the superiority of aspirin over other drugs including oral antihistamine and LTA and its equality to systemic steroid drugs in suppressing symptoms. It seemed that aspirin had positive effects in allergic inflammation at least in some subset of aspirin tolerant patients with chronic sinusitis.
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spelling doaj.art-a2a433874aaa488399751f24b1f579402022-12-22T02:05:33ZengTehran University of Medical SciencesIranian Journal of Allergy, Asthma and Immunology1735-15021735-52492013-12-01124450Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic AcidAli Kutlu0Murat Salihoglu1Aptullah Haholu2Enver Cesmeci3Hakan Cincik4Sami Ozturk5Department of Immunulogy and Allergology, GATA Haydarpasa Training Hospital, Istanbul, TurkeyDepartment of Otorhinolaryngology, GATA Haydarpasa Training Hospital, Istanbul, TurkeyDepartment of Pathology, GATA Haydarpasa Training Hospital, Istanbul, TurkeyDepartment of Otorhinolaryngology, GATA Haydarpasa Training Hospital, Istanbul, TurkeyDepartment of Otorhinolaryngology, GATA Haydarpasa Training Hospital, Istanbul, TurkeyDepartment of Immunulogy and Allergology, GATA Haydarpasa Training Hospital, Istanbul, TurkeyIt  is  well  known  that  desensitization  treatment  with  aspirin  can  significantly  improve symptoms and quality of life in patient with aspirin-exacerbated respiratory disease. However, its mechanism has not been clearly understood yet. In this case report, 41-year-old male patient was referred to our allergy and immunology department with complaints of chronic rhinosinusitis including postnasal discharge, sneezing, facial pain/pressure, waking up tired, nasal obstruction, smell loss for a long time. According to the patient, the complaints were controlled partially with nasal steroid and antihistamines, and single dose parenteral depot steroids were highly effective in controlling the symptoms and each time this effect lasted at least three weeks. The patient was told to use aspirin when needed analgesic and he started to use aspirin 500 mg bid. po for 10 days for his pain in the joints. The patient stressed the superiority of aspirin over other drugs including oral antihistamine and LTA and its equality to systemic steroid drugs in suppressing symptoms. It seemed that aspirin had positive effects in allergic inflammation at least in some subset of aspirin tolerant patients with chronic sinusitis.https://ijaai.tums.ac.ir/index.php/ijaai/article/view/485Acetylsalicylic acidAllergyAspirinChronic rhinosinusitisCorticosteroidsNasal polyps
spellingShingle Ali Kutlu
Murat Salihoglu
Aptullah Haholu
Enver Cesmeci
Hakan Cincik
Sami Ozturk
Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid
Iranian Journal of Allergy, Asthma and Immunology
Acetylsalicylic acid
Allergy
Aspirin
Chronic rhinosinusitis
Corticosteroids
Nasal polyps
title Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid
title_full Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid
title_fullStr Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid
title_full_unstemmed Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid
title_short Short-term Beneficial Effect of Aspirin in Patient with Chronic Rhinosinusitis and Tolerant to Acetylsalicylic Acid
title_sort short term beneficial effect of aspirin in patient with chronic rhinosinusitis and tolerant to acetylsalicylic acid
topic Acetylsalicylic acid
Allergy
Aspirin
Chronic rhinosinusitis
Corticosteroids
Nasal polyps
url https://ijaai.tums.ac.ir/index.php/ijaai/article/view/485
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