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Clinical and laboratory features of rhinitis in pregnant woman

Abstract

M.A. Ryabova, O.V. Lavrova, N.A. Shumilova, L.V. Georgieva

I.P. Pavlov First Saint Petersburg State Medical University

Aim: to reveal the clinical and laboratory features of rhinitis in pregnant women.

Patients and Methods: the study group consisted of 30 women with rhinitis symptoms that passed within two weeks after delivery. The control group consisted of 23 healthy pregnant women. The study included: medical history, ENT-organs examination, blood tests (complete blood count, TSH, non-specific IgE), nasal cytology examination, the study of nasal mucociliary transport and nasal IgE, nasal microbiology. 

Results: the laboratory study analysis revealed a significant increase in white blood cells in the group of pregnant women with rhinitis (average 8,5±1,3×109/l) compared with the control group (average 6,7±0,3×109/l). There were no significant differences in the indices in two groups.  Respiratory epithelial clearance was comparable in 2 groups and was within the normal range. An increase in leukocytes and neutrophils count in the rhinocytogram was revealed. 

Сonclusion: rhinitis symptoms in pregnant women were more often manifested in the first trimester of pregnancy. There were no statistically significant differences in eosinophils in the nasal cell-smear in pregnant women with rhinitis. Disorders of respiratory epithelial clearance in pregnancy rhinitis have not been revealed.

Keywords: rhinitis, clinical and laboratory features, respiratory epithelial clearance, rhinocytogram, pregnancy.

For citation: Ryabova M.A., Lavrova O.V., Shumilova N.A., Georgieva L.V. Clinical and laboratory features of rhinitis in pregnant woman. RMJ. Medical Review. 2019;9(II):69–72.



References
1. MacKenzie J. The physiological and pathophysiological relations between the nose and the sexual apparatus of man. Alienist Neurol. 1898;19:219–223.
2. Ellegard E.K., Karlsson N.G. Nasal congestion during pregnancy Clin Otolaryngol. 1999;24:307–311.
3. Mohun M. Incidence of vasomotor rhinitis during pregnancy. Arch. Otolaryngol. 1943;37:699–709.
4. Карпова E.П., Бараташвили А.Д. Фенотипическая классификация ринитов и основные принципы терапии. РМЖ. Медицинское обозрение. 2019;8:33–36 [Karpova E.P., Baratashvili A.D. Phenotypic classification of rhinitis and basic principles of therapy. RMJ. 2019;8:33–36 (in Russ.)].
5. Orban N., Maughan E., Bleach N. Pregnancy-induced rhinitis. Rhinology. 2013;51(2): 111–119.
6. Ellegård E.K. Clinical and pathogenetic characteristics of pregnancy rhinitis. Clin. Rev. Allergy Immunol. 2004;26(3):149–159.
7. Рябова М.А., Шумилова Н.А., Георгиева Л.В. Ринит беременных и синусит: клинический случай. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019;2(25):67–72. [Ryabova M.A., SHumilova N.A., Georgieva L.V. Rinit beremennyh i sinusit: klinicheskij sluchaj [Pregnancy rhinitis and sinusitis: a case report]. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019;2(25):67–72 (in Russ.)].
8. Рябова М.А., Лаврова О.В., Шумилова Н.А., Пестакова Л.В. Аллергический ринит у беременных. Вестник оториноларингологии. 2018;83(5):55–58. DOI: 10.17116/otorino20188305155 [Ryabova M.A., Lavrova O.V., Shumilova N.A., Pestakova L.V. Allergic rhinitis in pregnant women. Bulletin of Otorhinolaryngology. 2018;83(5):55-58 (in Russ.)].
9. Колесникова О.М., Муллаярова Ю.С., Рогачева Н.Н. Особенности риноцитограммы у беременных женщин. Российская оториноларингология. 2014;1(68):110–112 [Kolesnikova O.M., Mullayarova YU.S., Rogacheva N.N. Features of rhinocytograms in pregnant women. Russian otorhinolaryngology. 2014;1(68):110–112 (in Russ.)].
10. Deborah S., Prathibha K.M. Measurement of Nasal Mucociliary Clearance. Clin Res Pulmonol 2014;2(2):1019.
11. Акушерство. Национальное руководство. Под ред. Э.К. Айламазяна, В.И. Кулакова, В.Е. Радзинского, Г.М. Савельевой. М.: ГЭОТАР-Медиа; 2013. [Obstetrics. National manual. Eds. E.K. Aylamazyan, V.I. Kulakova, V.E. Radzinsky, G.M. Savelyeva. M.: GEOTAR-Media; 2013 (in Russ.)].
12. Пестакова Л.В. Особенности цитологического состава назального секрета у больных с хроническими ринитами на фоне фаринголарингеального рефлюкса. Российская оториноларингология. 2015;1(74):93–96. [Pestakova L.V. Features of the cytological composition of nasal secretion in patients with chronic rhinitis on the background of pharyngolaryngeal reflux. Russian otorhinolaryngology. 2015;1(74):93–96 (in Russ.)].
13. Inanli S., Oztürk O., Korkmaz M. et al. The effects of topical agents of fluticasone propionate, oxymetazoline, and 3% and 0.9% sodium chloride solutions on mucociliary clearance in the therapy of acute bacterial rhinosinusitis in vivo. Laryngoscope. 2002;112(2):320–325.
14. Pandya V.K., Tiwari R.S. Nasal mucociliary clearance in health and disease. Indian J Otolaryngol Head Neck Surg. 2006;58(4):332–334.

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