Re: Relationshipsrhinitis, fibromyalgia, and chronic fatigue

More | Report Post

Good one. Thanks, Sharon.

On 6/21/10, Sharon wrote:
> Relationships among rhinitis, fibromyalgia, and chronic
> fatigue
>
> http://www.ingentaconnect.com/content/ocean/aap/2010/0000003
> 1/00000003/art00002
>
> Authors: Baraniuk, James N.; Zheng, Yin
>
> Source: Allergy and Asthma Proceedings, Volume 31, Number
> 3, May/June 2010 , pp. 169-178(10)
>
> Publisher: OceanSide Publications, Inc
>
>
> Allergy and Asthma Proceedings is a peer reviewed
> publication dedicated to distributing timely scientific
> research regarding advancements in the knowledge and
> practice of allergy, asthma and immunology. Its primary
> readership consists of allergists and pulmonologists.
>
> The goal of the Proceedings is to publish articles with a
> predominantly clinical focus which directly impact quality
> of care for patients with allergic disease and asthma.
>
> Featured topics include asthma, rhinitis, sinusitis, food
> allergies, allergic skin diseases, diagnostic techniques,
> allergens, and treatment modalities. Published material
> includes peer-reviewed original research, clinical trials
> and review articles.
> Abstract:
>
> New information about the pathophysiology of idiopathic
> nonallergic rhinopathy indicates a high prevalence in
> chronic fatigue syndrome (CFS). This article shows the
> relevance of CFS and allied disorders to allergy practice.
> CFS has significant overlap with systemic hyperalgesia
> (fibromyalgia), autonomic dysfunction (irritable bowel
> syndrome and migraine headaches), sensory hypersensitivity
> (dyspnea; congestion; rhinorrhea; and appreciation of
> visceral nociception in the esophagus, gastrointestinal
> tract, bladder, and other organs), and central nervous
> system maladaptations (central sensitization) recorded by
> functional magnetic resonance imaging (fMRI). Neurological
> dysfunction may account for the overlap of CFS with
> idiopathic nonallergic rhinopathy. Scientific advances are
> in fMRI, nociceptive sensor expression, and, potentially,
> infection with xenotropic murine leukemia-related virus
> provide additional insights to novel pathophysiological
> mechanisms of the “functional” complaints of these patients
> that are mistakenly interpreted as allergic syndromes. As
> allergists, we must accept the clinical challenges posed by
> these complex patients and provide proper diagnoses,
> assurance, and optimum care even though current treatment
> algorithms are lacking.
> Keywords: Central sensitization; CFS; chronic fatigue
> syndrome; dysautonomia; fatigue; fibromyalgia; idiopathic
> nonallergic rhinitis; pain; xenotropic murine leukemia-
> related virus; XMRV
>
> Document Type: Research article
>
> DOI: 10.2500/aap.2010.31.3311