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1.1
1.1
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Patients with CRSwNP report the loss of smell and taste as one
of the SNOT-22 symptoms “most affecting” their
health.1
Furthermore, higher SNOT-22 scores may indicate an
increased risk for major depressive disorder.2
1.2
1.2
More associated
with
type 2 inflammation
Less associated
with
type 2 inflammation
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Patients with CRSwNP report the loss of smell and taste as one
of the SNOT-22 symptoms “most affecting” their
health.1
Furthermore, higher SNOT-22 scores may indicate an
increased risk for major depressive disorder.2
1.3
1.3
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Patients with CRSwNP and high levels of IL-13 in mucus show
increases in
olfactory dysfunction and sinonasal opacification
and are more likely to
have comorbid asthma.1-3
2.1
2.1
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In patients with CRSwNP, key type 2 cytokines
(IL-4, IL-13, and IL-5) can damage the epithelial barrier,
which can increase type 2 inflammation.
2.2
2.2
Type 1 inflammation
Type 2 inflammation
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Endotypes in CRS are associated with characteristic patterns
of
inflammation that can be seen on endoscopy, computed
tomography, and
histology.
2.3
2.3
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Current research suggests that both conductive and
sensorineural
dysfunction contribute to smell loss in CRSwNP.
3.1
3.1
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Type 2 cytokines have been shown to be elevated in
olfactory cleft mucus of
patients with CRSwNP and inversely
correlated with smell identification
test
scores.
3.2
3.2
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Current research suggests that both conductive and
sensorineural
dysfunction contribute to smell loss in CRSwNP.
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