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Original Paper

Exhaled Nitric Oxide May Predict Bronchial Hyperreactivity in Patients with Allergic Rhinitis

Cirillo I.a · Ricciardolo F.L.M.b · Medusei G.a · Signori A.c · Ciprandi G.d

Author affiliations

aNavy Medical Service, La Spezia, bDivision of Respiratory Disease, Department of Clinical and Biological Sciences, University of Torino, Torino, cHealth Science Department, Genoa University, and dIRCCS-Azienda Ospedaliera Universitaria San Martino, Genoa, Italy

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Int Arch Allergy Immunol 2013;160:322–328

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: March 21, 2012
Accepted: July 06, 2012
Published online: October 09, 2012
Issue release date: February 2013

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: https://www.karger.com/IAA

Abstract

Background: Nowadays it is possible to assess airway inflammation by measuring the fractional concentration of exhaled nitric oxide (FeNO) during an office visit and there is international consensus on the testing methodology. The aim of this study was to evaluate whether FeNO measurement may be a predictor of bronchial hyperreactivity (BHR) in patients with allergic rhinitis (AR). Methods: Two hundred eleven patients (196 males, median age 28.5 years) suffering from persistent AR were evaluated. Values for bronchial function (FVC, FEV1, and FEF25–75), bronchial provocation tests (methacholine), exhaled nitric oxide (FeNO), a visual analogue scale for nasal and bronchial symptoms, and sensitization were assessed. Results: A strong and inverse correlation between FeNO levels and BHR severity was found (r = –0.58). FeNO was a predictive factor for BHR, and 37 ppb was found to be the best cutoff (area under the curve 0.90) to define the presence of BHR in patients with AR. Conclusions: This study highlights the relevance of FeNO as a possible predictive marker for BHR in AR patients and underlines the close link between upper and lower airways. Thus, FeNO measurement could be a useful screening tool in identifying subjects with rhinitis at risk of developing asthma.

© 2012 S. Karger AG, Basel


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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: March 21, 2012
Accepted: July 06, 2012
Published online: October 09, 2012
Issue release date: February 2013

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: https://www.karger.com/IAA


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