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Determination of Serum IgE and Eosinophils as a Diagnostic Indicator in Allergic Rhinitis

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Abstract

Allergic Rhinitis is a chronic, inflammatory disease induced by an IgE-mediated reaction and identified clinically by the presence of symptoms of nasal discharge, itching, sneezing and nasal congestion. The aim and objectives of the study was to determine serum IgE and eosinophil levels in patients with allergic rhinitis and healthy controls, men and women, different age groups and to establish a correlation between serum IgE and eosinophil. A retrospective study was conducted in the outpatient department of ENT in ICARE institute of medical sciences and research, Haldia during the time span of March 2016 to February 2017. A total of 155 subjects (113 cases and 42 controls, 74 men and 81 women) of age 1 month—75 years were selected for the study. Blood samples obtained were analyzed to determine serum IgE and eosinophil levels and the results were subjected to statistical analysis using STATA 12 software. The mean values and standard deviation of the serum log IgE and eosinophil levels in cases and healthy controls, men and women, various age groups were obtained and tabulated using paired t test and MV test. Pearson’s correlation was performed to establish a relationship between serum log IgE and eosinophil levels. The mean values of serum log IgE and eosinophil levels were found to be higher in cases (log IgE—5.65, IgE—814.36 IU/ml, eosinophil—4.49%) when compared to controls (log IgE—4.43, IgE—96.62 IU/ml, eosinophil—2.36%). Men predominance was seen in mean serum log IgE levels (IgE—1018.5 IU/ml, log IgE—5.92) whereas women predominance in mean eosinophil counts (4.96%) in allergic rhinitis. A weakly positive correlation of 0.194 was established between serum log IgE and eosinophil levels. Estimation of serum IgE and eosinophil can serve as a simple, non-invasive and reliable investigative tool in the diagnosis of allergic rhinitis.

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References

  1. Small P, Kim H (2011) Allergic rhinitis. Allergy Asthma Clin Immunol 7(1):S3. https://doi.org/10.1186/1710-1492-7-s1-s3

    Article  PubMed  PubMed Central  Google Scholar 

  2. Sonawane R, Ahire N, Patil S, Korde A (2016) Study of eosinophil count in nasal and blood smear in allergic respiratory diseases. MVP J Med Sci 3(1):44–51. https://doi.org/10.18311/mvpjms/2016/v3i1/738

    Article  Google Scholar 

  3. Tran NP, Vickery J, Blaiss MS (2011) Management of rhinitis: allergic and non-allergic. Allergy Asthma Immunol Res 3(3):148–156. https://doi.org/10.4168/aair.2011.3.3.148

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Manohar S, Selvakumaran R (2012) Estimation of serum immunoglobulin E (IgE) level in allergic asthma and allergic rhinitis patients before and after treatment. Eur J Exp Biol 2(6):2199–2205

    CAS  Google Scholar 

  5. Stone KD, Prussin C, Metcalfe DD (2010) IgE, mast cells, basophils, and eosinophils. J Allergy Clin Immunol 125(2 suppl 2):s73–s80. https://doi.org/10.1016/j.jaci.2009.11.017

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tegnoor MS, Ali Jabri OB, Kumar MV, Kurle V (2017) Assessment of serum IgE levels in patients of allergic rhinitis. Al Ameen J Med Sci 10(2):136–140

    Google Scholar 

  7. Shoormasti RS, Pourpak Z, Eshraghian MR, Haghi Ashtiani MT, Jamali M, Ziedi M et al (2010) The study of total IgE reference range in healthy adults in Tehran, Iran. Iran J Publ Health 39(3):32–36

    Google Scholar 

  8. Demirjian M, Rumbyrt JS, Gowda VC, Klaustermeyer WB (2012) Serum IgE and eosinophil count in allergic rhinitis—analysis using a modified Bayes’ theorem. Allergol Immunopathol (Madr) 40(5):281–287. https://doi.org/10.1016/j.aller.2011.05.016

    Article  CAS  Google Scholar 

  9. Paula Couto TA, Falsarella N, de Branda O, Mattos CC, Mattos LC (2014) Total IgE plasma levels vary according to gender and age in brazilian patients with allergic rhinitis. Clinics 69(11):740–744. https://doi.org/10.6061/clinics/2014(11)06

    Article  PubMed  PubMed Central  Google Scholar 

  10. Brakhas SA, Atia MR, Aziz YJ, Al-Sharqi SAH (2015) Study of total IgE levels and eosinophil count according to age and gender in patients with allergic rhinitis. World J Pharm Res 4(1):295–303

    Google Scholar 

  11. Al-Rabia MW (2016) Food-induced immunoglobulin E-mediated allergic rhinitis. J Microsc Ultrastruct 4:69–75. https://doi.org/10.1016/j.jmau.2015.11.004

    Article  PubMed  Google Scholar 

  12. Corsico AG, De Amici M, Ronzoni V, Giunta V, Mennitti MC, Viscardi A et al (2017) Allergen-specific immunoglobulin E and allergic rhinitis severity. Allergy Rhinol (Providence) 8(1):1–4. https://doi.org/10.2500/ar.2017.8.0187

    Article  Google Scholar 

  13. Meena C, Poddar M, Sharma BS, Devpura K, Meena M (2016) Estimation of serum immunoglobulin E levels as suggestive indicator of atopy in children having allergic rhinitis. Indian J Allergy Asthma Immunol 30:17–21. https://doi.org/10.4103/0972-6691.187562

    Article  Google Scholar 

  14. Mediaty A, Neuber K (2005) Total and specific serum IgE decreases with age in patients with allergic rhinitis, asthma and insect allergy but not in patients with atopic dermatitis. Immun Ageing 2:9. https://doi.org/10.1186/1742-4933-2-9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Perić A, Vojvodić D, Vukomanović-Durđević B, Baletić N (2011) Eosinophilic inflammation in allergic rhinitis and nasal polyposis. Arh Hig Rada Tokiskol 62(4):341–348. https://doi.org/10.2478/10004-1254-62-2011-2120

    Article  CAS  Google Scholar 

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Correspondence to Tanya Khaitan.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Sharma, M., Khaitan, T., Raman, S. et al. Determination of Serum IgE and Eosinophils as a Diagnostic Indicator in Allergic Rhinitis. Indian J Otolaryngol Head Neck Surg 71 (Suppl 3), 1957–1961 (2019). https://doi.org/10.1007/s12070-018-1383-7

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  • DOI: https://doi.org/10.1007/s12070-018-1383-7

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