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Article type: Research Article
Authors: Doğan, Sevil Ceyhana; * | Karadağ, Ahmeta | Durmuş, Kasımb | Şahin, Özlema | Altuntaş, Emine Elifb
Affiliations: [a] Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey | [b] Department of Otolaryngology, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
Correspondence: [*] Corresponding author: Sevil Ceyhan Doğan, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cumhuriyet University, Campus, Sivas 58140, Turkey. Tel.: +90 346 258 0399/ext 00399; E-mail: [email protected].
Abstract: BACKROUND: The exact etiopathogenesis of fibromyalgia syndrome (FM) is still unclear but the pathogenesis of FM is associated with neurogenic inflammation. Allergic rhinitis (AR) is a common inflammatory and immunological disease of the nasal mucosa. As a result, it is known that neurogenic inflammation has a role in the pathophysiology of both FM and AR. OBJECTIVE: The aim of this study was to evaluate AR and nasal allergic inflammation using nasal mucociliary clearance time (NMC) in FM patients. METHODS: Forty-five FM patients and fifty healthy controls were included in the study. In both groups, AR was evaluated by total nasal symptom scoring (TNSS) and NMC was measured using saccharine transit time test (STT). RESULTS: TNSS was positive in 9 patients (20%) in the FM group and no positivity in the control group. In FM group, the mean value of TNSS was higher than that of the control group (p= 0.0001). The average value of STT of FM patients was statistically significantly longer when compared to the control group (p= 0.0001). CONCLUSION: The results we obtained suggest that there is a high possibility of coexistence of FM and AR. As a result, the coexistence of AR and FM cannot be denied but we believe that comprehensive clinical studies should be conducted on this subject.
Keywords: Fibromyalgia syndrome, allergic rhinitis, nasal mucociliary clearance time, saccharine, nasal symptom scoring
DOI: 10.3233/BMR-170837
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 31, no. 5, pp. 917-922, 2018
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