Diagnostic Criteria Of Chronic Type Laryngeal Allergy | 12399
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Laryngeal allergy was distinguished into the two groups, which was acute and chronic by Pang in 1975. Chronic laryngeal allergy has
been getting popular as a cause of persistent cough in a recent decayed in Japan. Bronchial asthma, cough variant asthma, postnasal drip
syndrome and laryngo-pharyngeal reflux disease must be differed from the chronic laryngeal allergy.
We further divided this chronic laryngeal allergy into perennial and seasonal type in 2005. These criteria have been employed until
today in otolaryngologic clinic. Moreover the both perennial and seasonal criteria have strict and indulgent subgroup respectively. The
strict criteria must be employed for the critical clinical investigation, and the indulgent criteria can be employed at ordinal daily office clinic.
Key points of these criteria are roughly demonstrated as the below:
Complaints: persistent cough and foreign body feeling of the larynx
Examination: proof of atopic factors, normal chest and sinus X-ray findings, normal pulmonary function, local laryngeal findings of
pale and glistening edema of the arytenoidal regions otherwise normal, no clinical signs of gastro-esophageal reflux disease.
Treatment: recognition of marked effectiveness of per-oral ingestion of H1-recepter blocker.
Details of the exact criteria of these four types must be revealed in Otolaryngology
-2012 at Chicago USA. We, Japanese members of prescribing these criteria of chronic type laryngeal allergy, discussed the
reasonableness of these criteria after proposal in 2005. Thus we, the members, have attempted to advance these criteria appropriately.
The new criteria of perennial and seasonal laryngeal allergy either strict or indulgent will be demonstrated at Otolaryngology 2012 in
Kensei Naito has completed his Ph.D at the age of 32 years from Fujita Health University, School of Medicine. He is Chair and Professor of Otolaryngology, Fujita Health University, School of Medicine. He is also a vice-director of Fujita Health University Hospital. He has published more than 40 papers in reputed journals.
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