CASE REPORT
Bronchial asthma with systemic sclerosis – a case study
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1
Department of Physiology and Pathophysiology, Institute of Medical Sciences, Faculty of Medicine and Health Science,
Jan Kochanowski University, Kielce, Poland
2
Laboratory of Medical Psychology and Education, Institute of Public Health, Faculty of Medicine and Health Science, Jan Kochanowski
University, Kielce, Poland
3
Gastroenterology Department, Central Clinical Hospital of Ministry of Internal Affairs and Administration, Warsaw, Poland
4
Department of Oncology and Nursing Oncology, Institute of Nursing and Obstetrics, Faculty of Medicine and Health Sciences,
Jan Kochanowski University, Kielce, Poland
Submission date: 2016-02-16
Final revision date: 2016-03-28
Acceptance date: 2016-04-29
Publication date: 2016-07-11
Medical Studies 2016;32(2):128-130
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ABSTRACT
Asthma affects from 1% to 18% of people depending on the country, and systemic sclerosis affects 0.025%. Asthma is a chronic inflammatory disease of the respiratory tract. Inflammation is induced by a plurality of cells and their release of mediators. Systemic sclerosis is a connective tissue disease belonging to the so-called major systemic diseases characterised by vascular damage, immune disorders, and excessive accumulation of extracellular matrix components in various internal organs and skin. As the disease progresses, they lead to multi-organ failure, and eventually death of the patient. It was formerly thought that there was no connection between diseases within the circle of allergies and autoimmunology. Currently, it is assumed that the cause of both disease groups is a disorder of the immune system. An example of this type of relationship is described in our clinical case where in one patient bronchial asthma coexists with systemic sclerosis.
REFERENCES (20)
1.
Światowa strategia rozpoznawania, leczenia i prewencji astmy. Medycyna Praktyczna 2007; 1 (wyd. specjalne): 21-7.
2.
Bousquet J, Khaltaev N, Alvaro A. Alergiczny nieżyt nosa i jego wpływ na astmę. Alergia Astma Immunologia 2008; Suppl. 1: 57-82.
3.
Mędrala W. Badanie nadreaktywności oskrzeli. Podstawy alergologii. Górnicki Wydawnictwo Medyczne, Wrocław 2006; 124.
4.
Czarny-Działak M, Głuszek S. Czy IL-25 może stanowić wspólne ogniwo patomechanizmu łączące astmę i alergiczny nieżyt nosa? Studia Medyczne 2011; 27: 65-8.
5.
Kuźnik-Trocha K, Winsz-Szczotka K, Komosińska-Vassev K, Olczyk K. Twardzina układowa – etiopatogeneza, diagnostyka, leczenie. J Laborat Diagnost 2012; 4: 441-53.
6.
Korzeniewska-Koseła M. Zmiany w układzie oddechowym w przebiegu układowych chorób tkanki łącznej. Przew Lek 2003; 6: 57-65.
7.
Mazurek J. Procesy autoimmunizacyjne a choroby alergiczne. Alergol Współcz 2013; 31: 5-12.
8.
Rottem M, Shoenfeld Y. Asthma as a paradigm for autoimmune disease. Int Arch Allergy Immunol 2003; 132: 210-4.
9.
Konstantinidis TG, Tsigalou C, Bisiklis A. Autoantibodies in patients with asthma: is there a link between asthma and autoimmunity? Int J Immunol Studies 2012; 4: 376-87.
10.
Fouser LA, Wright JF, Dunussi-Joannopoulos K, Collins M. Th17 cytokines and their emerging roles in inflammation and autoimmunity. Immunol Rev 2008; 226: 87-102.
11.
Robbie-Ryan M, Brown M. The role of mast cells in allergy and autoimmunity. Curr Opin Immunol 2002; 6: 728-33.
12.
Gregory GD, Brown MA. Mast cells in allergy and autoimmunity: implications for adaptive immunity. Methods Mol Biol 2006; 315: 35-50.
13.
Garn H, Mitermann I, Valenta R, Renz H. Autosensitization as a pathomechanism in asthma. Ann N Y Acad Sci 2007; 1107: 417-25.
14.
Mittermann I, Aichberger KJ, Bünder R, Mothes N, Renz H, Valenta R. Autoimmunity and atopic dermatitis. Curr Opin Allergy Clin Immunol 2004; 5: 367-71.
15.
Bartunkova J, Kayserova J, Shoenfeld Y. Allergy and autoimmunity: parallels and dissimilarity the yin and yang of immunopathology. Autoimmun Rev 2009; 8: 302-8.
16.
Rottem M, Gershwin ME, Shoenfeld Y. Allergic disease and autoimmune effectors pathways. Dev Immunol 2002; 9: 161-7.
17.
Valenta R, Mitterman I, Werfel T, Garn H, Renz H. Linking allergy to autoimmune disease. Trends Immunol 2009; 30: 109-16.
18.
Shah A. The pathologic and clinical intersection of atopic and autoimmune disease. Curr Allergy Asthma Rep 2012; 12: 520-9.
19.
Bünder R, Mittermann I, Herz U, Focke M, Wegmann M, Valenta R, Renz H. Induction of autoallergy with an environmental allergen mimicking a self-protein in a murine model of experimental allergic asthma. J Allergy Clin Immunol 2004; 114: 422-8.
20.
Tirosh A, Mandel D, Mimouni FB, Zimlichman E, Shochat T, Kochba I. Autoimmune diseases in asthma. Ann Intern Med 2006; 144: 877-83.