Treatable traits in chronic rhinosinusitis with nasal polyps

Curr Opin Allergy Clin Immunol. 2019 Aug;19(4):373-378. doi: 10.1097/ACI.0000000000000544.

Abstract

Purpose of review: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a complex inflammatory sinonasal disease that deserves a multidisciplinary precision medicine approach. In a precision medicine model, a more pragmatic approach taking in consideration disease features that are potentially treatable should be considered.

Recent findings: Several treatable traits in CRSwNP can be identified: from disease-related ones, to extra-ENT features, to behavioral and environmental factors. This review article summarizes primarily the recent findings of CRSwNP-related treatable traits and how they can be modified by given treatments.

Summary: The advent of biological agents acting directly to the endotype underlying CRSwNP pushes the scientific community to integrate clinical, surgical and immunological evaluations for each single patient; this naturally leads to the identification of specific treatable traits that can serve as possible outcomes for any single biological.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / therapeutic use*
  • Biological Products / therapeutic use*
  • Chronic Disease
  • Humans
  • Inflammation / drug therapy*
  • Nasal Polyps / drug therapy*
  • Phenotype
  • Precision Medicine
  • Rhinitis / drug therapy*
  • Sinusitis / drug therapy*
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Biological Products