Allergic Rhinoconjunctivitis: the Role of Histamine

Allergic rhinoconjunctivitis is the most common atopic condition encountered in clinical practice. Analysis of the pathogenesis of this condition permits identification of optimal therapeutic targets. The increased knowledge of the underlying pathophysiology suggests that multiple inflammatory media...

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Main Authors: M. Andersson, L. Greiff, C. Svensson
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/S0962935194000220
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author M. Andersson
L. Greiff
C. Svensson
author_facet M. Andersson
L. Greiff
C. Svensson
author_sort M. Andersson
collection DOAJ
description Allergic rhinoconjunctivitis is the most common atopic condition encountered in clinical practice. Analysis of the pathogenesis of this condition permits identification of optimal therapeutic targets. The increased knowledge of the underlying pathophysiology suggests that multiple inflammatory mediators are involved in the pathogenesis of the allergic reaction in the ocular and nasal mucosa. However, despite the presence of a wide range of different mediators, it would appear that histamine plays a key role. Experimental allergen challenge studies have demonstrated that histamine is the only mediator which produces the full spectrum of clinical manifestations of the acute allergic reaction when applied to the mucosal surface. While both H1- and H2-receptors are present in the nasal and ocular mucosa, only H1-receptor antagonists are capable of inhibiting histamine-induced symptoms of allergic rhinoconjunctivitis. Furthermore, although the exact role of histamine in the immediate and prolonged allergic reaction has not yet been fully elucidated, these findings do not exclude the possibility that histamine is involved in these processes. The available evidence therefore supports current clinical practice for use of H1-receptor antagonist as a first-line therapy in patients with this atopic condition.
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spelling doaj-art-1981bdb460fb48b284107430802892512025-02-03T01:24:28ZengWileyMediators of Inflammation0962-93511466-18611994-01-013317117510.1155/S0962935194000220Allergic Rhinoconjunctivitis: the Role of HistamineM. Andersson0L. Greiff1C. Svensson2Department of Otorhinolaryngology, University Hospital, Lund S-221 85, SwedenDepartment of Otorhinolaryngology, University Hospital, Lund S-221 85, SwedenDepartment of Otorhinolaryngology, University Hospital, Lund S-221 85, SwedenAllergic rhinoconjunctivitis is the most common atopic condition encountered in clinical practice. Analysis of the pathogenesis of this condition permits identification of optimal therapeutic targets. The increased knowledge of the underlying pathophysiology suggests that multiple inflammatory mediators are involved in the pathogenesis of the allergic reaction in the ocular and nasal mucosa. However, despite the presence of a wide range of different mediators, it would appear that histamine plays a key role. Experimental allergen challenge studies have demonstrated that histamine is the only mediator which produces the full spectrum of clinical manifestations of the acute allergic reaction when applied to the mucosal surface. While both H1- and H2-receptors are present in the nasal and ocular mucosa, only H1-receptor antagonists are capable of inhibiting histamine-induced symptoms of allergic rhinoconjunctivitis. Furthermore, although the exact role of histamine in the immediate and prolonged allergic reaction has not yet been fully elucidated, these findings do not exclude the possibility that histamine is involved in these processes. The available evidence therefore supports current clinical practice for use of H1-receptor antagonist as a first-line therapy in patients with this atopic condition.http://dx.doi.org/10.1155/S0962935194000220
spellingShingle M. Andersson
L. Greiff
C. Svensson
Allergic Rhinoconjunctivitis: the Role of Histamine
Mediators of Inflammation
title Allergic Rhinoconjunctivitis: the Role of Histamine
title_full Allergic Rhinoconjunctivitis: the Role of Histamine
title_fullStr Allergic Rhinoconjunctivitis: the Role of Histamine
title_full_unstemmed Allergic Rhinoconjunctivitis: the Role of Histamine
title_short Allergic Rhinoconjunctivitis: the Role of Histamine
title_sort allergic rhinoconjunctivitis the role of histamine
url http://dx.doi.org/10.1155/S0962935194000220
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