気管支喘息の分類 : 鼻型, 気管支型の差異に就て

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According to the clinical investigation of 120 outpatients with bronchial asthma in our clinic during the period from Jan. to Dec. 1950 two types were recognized, namely nasal and bronchial type. Patient with predominant symptoms of rhinorrhoe and sneezing prior to the onset of asthma and or during asthmatic attacks, was classified under nasal type. Patient without such symptoms was classified under bronchial type. Between these two types there were some differences in clinical and laboratory findings as follows: 1. Nasal type was observed more frequently among the patients who had the onset of bronchial asthma in younger ages. 2. While the frequency of asthmatic attacks in nasal type was remarkably elevated in September, October and November, it did not change so much through a year in bronchial type. 3. Examinations regarding inhalatory allergens, namely intracutaneous, conjunctival, and inhalative tests were positive in 70.5%, 30%, and 48% respectively in nasal type, while they were 49.2%, 10.5% and 25% in bronchial type. 4. Incidence of eosinophilia in peripheral blood is more frequently in nasal type while leucocytosis is more predominant in bronchial type. 5. Accelarated erythrocyte sedimentation rate was observed more frequently in bronchial type. 6. Urinary proteins and abnormal electrocardiographic findings appeared in 6% and 21% in nasal type, while 33% and 50% in bronchial type. From these results following conclusion was drawn that the nasal type was more allergic and the bronchial type more infectious in etielogical point of view.
日本アレルギー学会の論文
1962-10-30

気管支喘息の分類 : 鼻型, 気管支型の差異に就て

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