Corticosteroid Use Does Not Alter Nasal Mucus Glucose in Chronic Rhinosinusitis. (June 2015)

• Record Type: Journal Article
• Authors: Hatten, Kyle M.; Palmer, James N.; Lee, Robert J.; Adappa, Nithin D.; Kennedy, David W.; Cohen, Noam A.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 152:Number 6(2015:Jun.)
• Page Start: 1140
• Page End: 1144
• Publication Date: 2015-06
• Subjects: chronic rhinosinusitis -- solitary chemosensory cell -- innate immunity -- glucocorticoid; Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599815577567
• Languages: English
• ISSNs: 0194-5998

Abstract

Objectives: To evaluate nasal mucus glucose concentrations in patients with and without chronic rhinosinusitis and determine if corticosteroid therapy alters mucus glucose. Study Design: Prospective observational study. Setting: Single tertiary care center. Subjects: Ninety-five patients presenting to an otolaryngology clinic. Methods: Participants completed questionnaires that included a history of medical and surgical therapies as well as sinusitis-specific quality-of-life measurements. Nasal mucus was collected in an outpatient clinic using an open cell foam technique. The nasal mucus glucose concentrations of patients with and without chronic rhinosinusitis were compared to the use of systemic and topical glucocorticoid treatment. Results: A statistically significant difference was measured between mean nasal glucose secretions of control patients, 10.2 mg/dL, compared with patients diagnosed with chronic rhinosinusitis, 18.4 mg/dL ( P < .0001). Use of corticosteroids, both topical and systemic, did not correlate with nasal glucose concentrations. Conclusion: Patients diagnosed with chronic rhinosinusitis have elevated nasal glucose concentrations compared with control patients, and this elevated nasal glucose level was independent of corticosteroid use. Nasal glucose may independently contribute to the pathophysiology of chronic rhinosinusitis.