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Updated: Nov 9 2017

Nasal Polyps

  • Overview
    • Definition
      • non-cancerous growth of tissue due to chronic inflammation
    • Types
      • allergic polyps
        • affects adults with long history of allergies
      • NSAID-associated polyps
        • most commonly affects women with chronic pain conditions (e.g. fibromyalgia)
        • occurs because of ↑ activity of lipoxygenase pathway when cyclooxygenase pathway is blocked
          • ↑ concentrations of bronchoconstricting leukotrienes
          • ↑ concentrations of bronchoconstricting leukotrienes
        • ↑ concentrations of bronchoconstricting leukotrienes
        • classic (Samter's) triad:
          • NSAIDs or aspirin allergy
          • asthma
          • nasal polyp
      • ↑ concentrations of bronchoconstricting leukotrienes
      • cystic fibrosis-associated polyps
        • seen in children
          • if a child has a nasal polyp → get a sweat chloride test to assess for CF
        • hyper viscous mucus leads to chronic nasosinus infections
    • ↑ concentrations of bronchoconstricting leukotrienes
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