Skip to main content

Advertisement

Log in

The association of allergic rhinitis severity with neutrophil–lymphocyte and platelet–lymphocyte ratio in adults

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

To investigate the association of allergic rhinitis (AR) severity with neutrophil–lymphocyte and platelet–lymphocyte ratios in adult patients.

Methods

The study design was prospective observational study and the study included 209 AR patients and 243 healthy individuals. The patient group comprised 38.2% males with a mean age of 31.8 years. All patients who were diagnosed with persistent AR were included. The healthy control group comprised 52.7% males with a mean age of 32.3 years. The blood examination results of patients and healthy individuals were compared in terms of neutrophil–lymphocyte and platelet–lymphocyte ratios. The values were further compared within the patient group, according to AR severity.

Results

The neutrophil–lymphocyte ratio was 1.70 ± 0.65 in the healthy group and 2.02 ± 1.24 in the patient group. The platelet–lymphocyte ratio result was 100.85 ± 25.33 in the healthy group and 120.67 ± 40.59 in the patient group. When we compared the neutrophil–lymphocyte and platelet–lymphocyte ratios between the groups, we found statistically significant differences in both ratios (p = 0.003, p = 0.000, respectively). Both the neutrophil–lymphocyte and the platelet–lymphocyte ratios were higher in patients with moderate–severe AR.

Conclusion

Both neutrophil–lymphocyte and platelet–lymphocyte ratios are useful markers for diagnosis of persistent AR. Specialists may benefit from these markers to assess the severity of the disease at the beginning of the diagnostic process.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Passali D, Cingi C, Staffa P et al (2018) The international study of the allergic rhinitis survey: outcomes from 4 geographical regions. Asia Pac Allergy. https://doi.org/10.5415/apallergy.2018.8.e7

    Article  PubMed  PubMed Central  Google Scholar 

  2. Bousquet J, Khaltaev N, Cruz AA et al (2008) allergic rhinitis and its impact on asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy 63(Suppl 86):8–160. https://doi.org/10.1111/j.1398-9995.2007.01620.x

    Article  PubMed  Google Scholar 

  3. Dogru M, Citli R (2017) The neutrophil-lymphocyte ratio in children with atopic dermatitis: a case-control study. Clin Ther 168:e262–e265. https://doi.org/10.7417/T.2017.2017

    Article  CAS  Google Scholar 

  4. Templeton AJ, McNamara MG, Šeruga B et al (2014) Prognostic role of neutrophil-to-lymphocyte ratio in solid tumors: a systematic review and meta-analysis. J Natl Cancer Inst. https://doi.org/10.1093/jnci/dju124

    Article  PubMed  Google Scholar 

  5. Avci A, Alizade E, Fidan S et al (2014) Neutrophil/lymphocyte ratio is related to the severity of idiopathic dilated cardiomyopathy. Scand Cardiovasc J SCJ 48:202–208. https://doi.org/10.3109/14017431.2014.932922

    Article  CAS  PubMed  Google Scholar 

  6. Gao Y, Wang W-J, Zhi Q et al (2017) Neutrophil/lymphocyte ratio is a more sensitive systemic inflammatory response biomarker than platelet/lymphocyte ratio in the prognosis evaluation of unresectable pancreatic cancer. Oncotarget 8:88835–88844. https://doi.org/10.18632/oncotarget.21340

    Article  PubMed  PubMed Central  Google Scholar 

  7. Bousquet J, Van Cauwenberge P, Khaltaev N et al (2001) Allergic rhinitis and its impact on asthma. J Allergy Clin Immunol 108:S147–334

    Article  CAS  Google Scholar 

  8. Tanındı A, Erkan AF, Ekici B et al (2014) Neutrophil to lymphocyte ratio is associated with more extensive, severe and complex coronary artery disease and impaired myocardial perfusion. Turk Kardiyol Dernegi Arsivi Turk Kardiyol Derneginin Yayin Organidir 42:125–130. https://doi.org/10.5543/tkda.2014.18949

    Article  Google Scholar 

  9. Imtiaz F, Shafique K, Mirza SS et al (2012) Neutrophil lymphocyte ratio as a measure of systemic inflammation in prevalent chronic diseases in Asian population. Int Arch Med 5:2. https://doi.org/10.1186/1755-7682-5-2

    Article  PubMed  PubMed Central  Google Scholar 

  10. Uslu AU, Deveci K, Korkmaz S et al (2013) Is neutrophil/lymphocyte ratio associated with subclinical inflammation and amyloidosis in patients with familial Mediterranean fever? Biomed Res Int 2013:185317. https://doi.org/10.1155/2013/185317

    Article  PubMed  PubMed Central  Google Scholar 

  11. Dogru M, Evcimik MF, Cirik AA (2016) Is neutrophil–lymphocyte ratio associated with the severity of allergic rhinitis in children? Eur Arch Oto-Rhino-Laryngol 273:3175–3178. https://doi.org/10.1007/s00405-015-3819-y

    Article  Google Scholar 

  12. Dogru M, Yesiltepe Mutlu RG (2016) The evaluation of neutrophil-lymphocyte ratio in children with asthma. Allergol Immunopathol (Madr) 44:292–296. https://doi.org/10.1016/j.aller.2015.09.005

    Article  CAS  Google Scholar 

  13. Gelardi M, Incorvaia C, Fiorella ML et al (2011) The clinical stage of allergic rhinitis is correlated to inflammation as detected by nasal cytology. Inflamm Allergy Drug Targets 10:472–476

    Article  CAS  Google Scholar 

  14. Pelikan Z (2013) Cytological changes in nasal secretions accompanying delayed nasal response to allergen challenge. Am J Rhinol Allergy 27:345–353. https://doi.org/10.2500/ajra.2013.27.3933

    Article  PubMed  Google Scholar 

  15. Wise SK, Lin SY, Toskala E et al (2018) International consensus statement on allergy and rhinology: allergic rhinitis. Int Forum Allergy Rhinol 8:108–352. https://doi.org/10.1002/alr.22073

    Article  PubMed  Google Scholar 

  16. Gelardi M, Peroni DG, Incorvaia C et al (2014) Seasonal changes in nasal cytology in mite-allergic patients. J Inflamm Res 7:39–44. https://doi.org/10.2147/JIR.S54581

    Article  PubMed  PubMed Central  Google Scholar 

  17. Kiliçkaya MM, Tuz M, Yariktaş M et al (2015) The importance of the neutrophil-lymphocyte ratio in patients with idiopathic peripheral facial palsy. Int J Otolaryngol 2015:1–4. https://doi.org/10.1155/2015/981950

    Article  Google Scholar 

  18. Ozturk C, Balta S, Balta I et al (2015) Neutrophil–lymphocyte ratio and carotid-intima media thickness in patients with Behçet disease without cardiovascular involvement. Angiology 66:291–296. https://doi.org/10.1177/0003319714527638

    Article  PubMed  Google Scholar 

  19. Yang H, Zhang W, Li Y, Li R (2019) Neutrophil-to-lymphocyte ratio: An effective predictor of corticosteroid response in IgA nephropathy. Int Immunopharmacol 74:105678. https://doi.org/10.1016/j.intimp.2019.105678

    Article  CAS  PubMed  Google Scholar 

  20. Uslu AU, Küçük A, Şahin A et al (2015) Two new inflammatory markers associated with Disease Activity Score-28 in patients with rheumatoid arthritis: neutrophil-lymphocyte ratio and platelet-lymphocyte ratio. Int J Rheum Dis 18:731–735. https://doi.org/10.1111/1756-185X.12582

    Article  PubMed  Google Scholar 

  21. Wu Y, Chen Y, Yang X et al (2016) Neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) were associated with disease activity in patients with systemic lupus erythematosus. Int Immunopharmacol 36:94–99. https://doi.org/10.1016/j.intimp.2016.04.006

    Article  CAS  PubMed  Google Scholar 

  22. Zhou H, Mei X, He X et al (2019) Severity stratification and prognostic prediction of patients with acute pancreatitis at early phase: a retrospective study. Medicine (Baltimore) 98:e15275. https://doi.org/10.1097/MD.0000000000015275

    Article  Google Scholar 

  23. Jiang Y, Ma W (2017) Assessment of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in atopic dermatitis patients. Med Sci Monit Int Med J Exp Clin Res 23:1340–1346

    CAS  Google Scholar 

  24. Alkhouri N, Morris-Stiff G, Campbell C et al (2012) Neutrophil to lymphocyte ratio: a new marker for predicting steatohepatitis and fibrosis in patients with nonalcoholic fatty liver disease. Liver Int 32:297–302. https://doi.org/10.1111/j.1478-3231.2011.02639.x

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Enis Ekincioglu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

The study design was prospective observational study and this research was performed with human participants. All patients were signed written informed consent.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Göker, A.E., Ekincioglu, E., Alagöz, M.H. et al. The association of allergic rhinitis severity with neutrophil–lymphocyte and platelet–lymphocyte ratio in adults. Eur Arch Otorhinolaryngol 276, 3383–3388 (2019). https://doi.org/10.1007/s00405-019-05640-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-019-05640-0

Keywords

Navigation