Upper respiratory tract secretions: pathophysiology

Eur J Respir Dis Suppl. 1987:153:26-33.

Abstract

Nasal fluid is a heterogeneous substance. It consists largely of a secretory product derived from the 100,000 small seromucous glands. The anterior part of the nose has a relatively high secretory capacity, but this does not seem to be caused by secretion from the 200 anterior serous glands. Compared to sputum, nasal secretion has a lower viscosity, but comparable spinability; it has a lower dry weight, and content of sulphate, sugars and most proteins, but a comparable level of albumin. Watery rhinorrhoea is mainly reflex-mediated. Watery, but not purulent nasal discharge can be reduced by the cholinoceptor antagonist, ipratropium, administered in a dose which matches the degree of the symptoms. It seems likely that the nose, in some respects, can serve as a model for the analysis of airway secretions, but a comparative study of nasal and of bronchial secretions sampled in an identical way is warranted.

Publication types

  • Review

MeSH terms

  • Allergens / immunology
  • Blood
  • Body Fluids / metabolism
  • Exudates and Transudates / metabolism
  • Histamine
  • Humans
  • Mucociliary Clearance
  • Nasal Mucosa / cytology
  • Nasal Mucosa / metabolism*
  • Paranasal Sinuses / metabolism
  • Stimulation, Chemical
  • Tears / metabolism

Substances

  • Allergens
  • Histamine