Yüksek rakımın alerjik rinit ve bronşiyal hiperreaktivite üzerindeki etkileri

Abstract

Allergic respiratory diseases are common public health problem. Although several treatment options, some of patients cannot manage to get satisfactory recovery. High altitude (HA) is shown as a natural additive and/or salvage therapy option for this patient group. We aimed to present the effect of HA on allergic rhinitis and bronchial hyperreactivity in company with literature.

Keywords

• High altitude,allergic rhinitis,bronchial hyperreactivity,Yüksek rakım,alerjik rinit,bronşiyal hiperreaktivite

References

1. 1. Accordini S, Corsico AG, Braggion M, et al.; Therapy and Health Economics Working Group of the European Community Respiratory Health Survey II. The socio-economic burden of asthma is substantial in Europe. Allergy 2008;63:116–24.
2. 2. Pesce G, Bugiani M, Marcon A, et al. Geo-climatic heterogeneity in self-reported asthma, allergic rhinitis and chronic bronchitis in Italy. Sci Total Environ 2016;544:645–52.
3. 3. Karagiannidis C, Hensey G, Rueckert B, et al. High-altitude climate therapy reduces local airway inflammation and modulates lymphocyte activation. Scand J Immunol 2006;63:304–10.
4. 4. DromaY, Kunii O, Yangzom Y, Shan M, Pingzo L, Song P. Prevalence and severity of asthma and allergies in schoolchildren in Lhasa, Tibet. Clin Exp Allergy 2007;37:1326–33.
5. 5. Schultze-Werninghaus G. Should asthma management include sojourns at high altitude? Chem Immunol Allergy 2006;91:16–29.
6. 6. Grootendorst DC, Dahlen SE, Van Den Bos JW, et al. Benefits of high altitude allergen avoidance in atopic adolescents with moderate to severe asthma, over and above treatment with high dose inhaled steroids. Clin Exp Allergy 2001;31:400–8.
7. 7. Charpin D, Birnbaum J, Haddi E, et al. Altitude and allergy to house-dust mites. A paradigm of the influence of environmental exposure on allergic sensitization. Am Rev Respir Dis 1991;143: 983–6.
8. 8. Grafetstätter C, Prossegger J, Braunschmid H, et al. No concentration decrease of house dust mite allergens with rising altitude in Alpine regions. Allergy Asthma Immunol Res 2016;8:312–8.

9. 9. Valdiviesoa R, Iraloab V. Monthly variation of Dermatophagoides allergens and its influence on respiratory allergy in a high altitude environment (Quito, 2800 m a.s.l. in Andean Ecuador). Allergol Immunopathol (Madr) 2011:39:10–6.
10. 10. Valdivieso R, Iraola V, Estupinan M, Fernandez-Caldas E. Sensitization and exposure to house dust and storage mites in high-altitude areas of Ecuador. Ann Allergy Asthma Immunol 2006;97:532–8.
11. 11. Allegra L, CogoA, Legnani D, Diano PL, Fasano V, Negretto GG. High altitude exposure reduces bronchial responsiveness to hypo-osmolar aerosol in lowland asthmatics. Eur Respir J 1995;8: 1842–6.
12. 12. West JB. High altitude. In: Crystal RG, West JB, (eds). The lung. New York, NY: Raven Press; 1991. p. 2093–107.
13. 13. Heath D, Williams DR. Man at high altitude. Edinburgh: Churchill Livingstone; 1981.
14. 14. Weiland SK, Hüsing A, Strachan DP, Rzehak P, Pearce N; the ISAAC Phase One Study Group. Climate and the prevalence of symptoms of asthma, allergic rhinitis, and atopic eczema in children. Occup Environ Med 2004;61:609-15.
15. 15. Barry PW, Mason NP, O’Callaghan C. Nasal mucociliary transport is impaired at altitude. Eur Respir J 1997;10:35–7.
16. 16. Rodway GW, Windsor JS. Airway mucociliary function at high altitude. Wilderness Environ Med 2006;17:271–5.
17. 17. Rijssenbeek-Nouwens LH, Fieten KB, O. Bron A, Hashimoto S, Bel EH, Weersink EJ. High-altitude treatment in atopic and nonatopic patients with severe asthma. Eur Respir J 2012;40:1374– 80.
18. 18. Yanzong, Nafstad P, Madsen C, Bjertness E. Childhood asthma under the north face of Mount Everest. Journal of Asthma 2006; 43:393–8.
19. 19. Shimomura Y, Mizoguchi E, Sugimoto K, Kibe R, Benno Y, Mizoguchi A, Bhan AK. Regulatory role of B-1 B cells in chronic colitis. Int Immunol 2008;20:729–37.
20. 20. Vargas MH, Sienra-Monge JJ, Diaz-Mejia G, DeLeon-Gonzalez M. Asthma and geographical altitude: an inverse relationship in Mexico. J Asthma 1999;36:511–7.
21. 21. van Velzen E, van den Bos JW, Benckhuijsen JAW, van Essel T, de Bruijn R, Aalbers R. Effect of allergen avoidance at high altitude on direct and indirect bronchial hyperresponsiveness and markers of inflammation in children with allergic asthma. Thorax 1996;51:582–4.
22. 22. Charlet LD, Mulla MS, Sanchez-Medina M. Domestic Acari of Colombia: abundance of the European house dust mite, Dermatophagoides pteronyssinus (Acari: Pyroglyphidae), in homes in Bogota. J Med Entomol 1997;13:709–12.
23. 23. Caceres I, Fain A. Notes on the mite fauna of the house dust of homes in Peru. Bull Ann Soc Belge d’ Entomol 1978;114:301–3.
24. 24. Rangel A, Salmen S, Munoz J, Garcia F, Hernandez M. Dermatophagoides sp. and IgE anti-D. pteronyssinus and D. farinae detection in a Venezuelan community at more than 2000 m above the sea level. Clin Exp Allergy 198;28:1100 –3.
25. 25. Valdivieso R, Estupinan M, Acosta ME. Asthma and its relation with Dermatophagoides pteronyssinus and Dermatophagoides farinae in Andean altitudes (Quito, Ecuador). J Invest Allergol Clin Immunol 1997;7:46–50.
26. 26. Valdivieso R, Acosta ME, Estupinan M. Dust mites but not grass pollen are important sensitizers in asthmatic children in the Ecuadorian Andes. J Invest Allergol Clin Immunol 1999;9:288–92.