Treatment Approach to Chronic Rhinosinusitis Based on Endotype: Difference Between East and West.

IF 5.2 2区医学 Q1 ALLERGY

Clinical and Experimental Allergy Pub Date : 2025-10-02 DOI:10.1111/cea.70150

Junhai Chen, Linlu Wang, Xinyue Wang, Yana Zhang, Qintai Yang

引用次数: 0

Abstract

Heterogeneity among CRSwNP patients in Western and Eastern countries leads to differences in management. Type 2 (T2) inflammation accounts for the majority of CRSwNP patients in Western countries, while non-T2 inflammation is the main endotype in CRSwNP patients in Eastern countries. Precise identification of T2 inflammation holds significant promise for optimising treatment outcomes. The treatment of T2 inflammation-biased CRSwNP primarily involves glucocorticoids, reboot surgery, and T2 biologics, while non-T2 inflammation-dominant CRSwNP is mainly treated with macrolide antibiotics.

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基于内型的慢性鼻窦炎治疗方法：东西方差异。

东西方国家CRSwNP患者的异质性导致了治疗上的差异。西方国家CRSwNP患者以2型（T2）炎症为主，而东方国家CRSwNP患者以非T2炎症为主。精确识别T2炎症对优化治疗结果具有重要意义。T2炎症偏倚的CRSwNP的治疗主要包括糖皮质激素、重启手术和T2生物制剂，而非T2炎症偏倚的CRSwNP主要使用大环内酯类抗生素治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Allergy 医学-过敏

CiteScore

10.40

自引率

9.80%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical & Experimental Allergy strikes an excellent balance between clinical and scientific articles and carries regular reviews and editorials written by leading authorities in their field. In response to the increasing number of quality submissions, since 1996 the journals size has increased by over 30%. Clinical & Experimental Allergy is essential reading for allergy practitioners and research scientists with an interest in allergic diseases and mechanisms. Truly international in appeal, Clinical & Experimental Allergy publishes clinical and experimental observations in disease in all fields of medicine in which allergic hypersensitivity plays a part.