アレルギーの立場から見た慢性副鼻腔炎の検討

DOI Web Site
  • 等松 和夫
    慶応義塾大学医学部耳鼻咽喉科教室 大藏省印刷局東京病院耳鼻咽喉科

書誌事項

タイトル別名
  • THE STUDY OF THE CHRONIC MAXILLARY SINUSITIS FROM THE STAND POINT OF ALLERGY
  • アレルギー ノ タチバ カラ ミタ マンセイ フクビクウエン ノ ケントウ

この論文をさがす

説明

1) The historical, gross and microscopic investigations of chronic maxillary sinusitis have been made on 84 cases with 133 sinuses, especially from the stand point of allergy.<br>2) The sinus mucosa is classified into three types according to Hansel's classification method by the histological observation. The results obtained are as follows:<br>(i) Allergic type ............... 12.0%, <br>(ii) Purulent type ...............24.1%, <br>(iii) Combined type............ 63.9%, <br>3) The marked edema is found mostly in the allergic and combined types, and not in' the purulent type.<br>4) Eosinophiles are helpful for making diagnosis of allergy although the marked infiltration has never been observed in our cases. It may by because of these allergies are of chronic type independent of seasons.<br>5) The increase of goblet cell may be one of the basic evidences for the discrimination of the allergic type.<br>6) The thickening of basement membrane is not specific for the allergy.<br>7) The incidence of thrombi formation is almost equal in these three types, though it is slightly higher in the allergic type.<br>8) The swelling of blood vessel wall is seen most frequently in the combined type, and lest freuquently in the purulent and allergic types, since it might have a' close relation to the bacterial allergy.<br>9) The history of allergy of the patient and his family is important for the diagnosis of the allergy.<br>10) The nasal polyp, the pale swelling of nasal mucous membrane and the edematous or polypoid hypertrophy of nasal mucous membrane are found most frequently in the allergic type and the combined type of maxillary sinusitis, and have fairly close relation to the allergy.<br>11) Whence, the diagnosis of allergic sinusitis may be made considering the above mentioned observed facts.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ