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Observations on the cytology of the nasal secretions in allergy
Society THE
ASSOCIATION ELEVENTH
Proceedings
FOR THE
ANNUAL JUNE
MEETING, 12
BKD
STUDY MILWAUKEE,
13,
OF ALLERGY WIS.,
1933
(CONCLUDED)
Observations ~;;;.cIs
K.
on the Cytology of the Nasal Secretions in Allergy. HAXSEL, St. Louis, MO. (For original article, see page
The So-called “Nonallergic” AND
GEORGE
F.
HARSCH,
Vasomotor Rhinitis. Chicago, III. (Abstract.)
IIARKY
L.
IILTBER,
The authors maintain that abont 70 per cent of cases of vasomotor rhinitis can be definitely identified as allergic in origin. The other 30 per cent present a difficult problem. A detailed study was made of such cases. This included a history, complete physical examination, examination by a competent rhinologist, and correction of significant nasal pathologic conditions, and the following laboratory examinations : blood count, blood chemistry, Arnet,h index, sedimentation rate, endocrine studies, nasal smears, skin tests, and x-ray examinat,ion of -the sinuses. From such studies the following data were assembled: 80 per cent are females, most of them between the ages of thirteen and fifty years. Ninety per cent have no known hereditary history of allergy. The majority have basal metabolic rates below -10 per cent, some with definite signs of myxedema. The majority have a low blood pressure and a slow pulse rat.e. The eosinophiles in the nasal smears are in about the same proportion as found in the typical allergic patient. Eosinophilia in the blood, although above normal, was distinctly lower than in the typical allergic patient. The blood chemistry and phosphorus are rarely abnormal. The sedimentation rate is usually a slow normal-distinct,Iy more rapid than in the allergic patient. Xkin tests are negative. The frequent. finding of definite evidence of endocrine dysfunction in many of this group of patients was based upon the following observations : (1) In the female, symptoms are frequently much worse at the menstrual time. (2) There is an unusual frequency of sterility without (3) There is frequent association with definite pathologic condition. the early months of gestation and often improvement in the last months. (4) There is frequent association with the menopause, normal or sur-
gical. 432
ASSOCIATION ELEVENTH
Proceedings
FOR THE
ANNUAL JUNE
MEETING, 12
BKD
STUDY MILWAUKEE,
13,
OF ALLERGY WIS.,
1933
(CONCLUDED)
Observations ~;;;.cIs
K.
on the Cytology of the Nasal Secretions in Allergy. HAXSEL, St. Louis, MO. (For original article, see page
The So-called “Nonallergic” AND
GEORGE
F.
HARSCH,
Vasomotor Rhinitis. Chicago, III. (Abstract.)
IIARKY
L.
IILTBER,
The authors maintain that abont 70 per cent of cases of vasomotor rhinitis can be definitely identified as allergic in origin. The other 30 per cent present a difficult problem. A detailed study was made of such cases. This included a history, complete physical examination, examination by a competent rhinologist, and correction of significant nasal pathologic conditions, and the following laboratory examinations : blood count, blood chemistry, Arnet,h index, sedimentation rate, endocrine studies, nasal smears, skin tests, and x-ray examinat,ion of -the sinuses. From such studies the following data were assembled: 80 per cent are females, most of them between the ages of thirteen and fifty years. Ninety per cent have no known hereditary history of allergy. The majority have basal metabolic rates below -10 per cent, some with definite signs of myxedema. The majority have a low blood pressure and a slow pulse rat.e. The eosinophiles in the nasal smears are in about the same proportion as found in the typical allergic patient. Eosinophilia in the blood, although above normal, was distinctly lower than in the typical allergic patient. The blood chemistry and phosphorus are rarely abnormal. The sedimentation rate is usually a slow normal-distinct,Iy more rapid than in the allergic patient. Xkin tests are negative. The frequent. finding of definite evidence of endocrine dysfunction in many of this group of patients was based upon the following observations : (1) In the female, symptoms are frequently much worse at the menstrual time. (2) There is an unusual frequency of sterility without (3) There is frequent association with definite pathologic condition. the early months of gestation and often improvement in the last months. (4) There is frequent association with the menopause, normal or sur-
gical. 432