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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2021-3-161-167</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-4493</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Диагностические маркеры локального аллергического ринита</article-title><trans-title-group xml:lang="en"><trans-title>Diagnostic markers of local allergic rhinitis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2776-5834</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Климов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> канд. мед. наук, доцент, кафедра оториноларингологии, иммунологии и аллергологии</p><p> Россия, 634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p> 2, Moscow Trakt, Tomsk, 634050, Russian Federation </p></bio><email xlink:type="simple">klimov.lor@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6673-7556</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Климов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> д-р мед. наук, зав. кафедрой оториноларингологии, иммунологии и аллергологии</p><p> Россия, 634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p> 2, Moscow Trakt, Tomsk, 634050, Russian Federation </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8298-7456</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Koваль</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Koval</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> ассистент, кафедра оториноларингологии, иммунологии и аллергологии</p><p> Россия, 634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p> 2, Moscow Trakt, Tomsk, 634050, Russian Federation </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7594-6800</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Свиридова</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sviridova</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> канд. мед. наук, доцент, кафедра иммунологии и аллергологии</p><p> Россия, 634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p> 2, Moscow Trakt, Tomsk, 634050, Russian Federation </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6032-2402</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Koшкарова</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Koshkarova</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> канд. мед. наук, доцент, кафедра иммунологии и аллергологии</p><p> Россия, 634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p> 2, Moscow Trakt, Tomsk, 634050, Russian Federation </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет (СибГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>21</day><month>10</month><year>2021</year></pub-date><volume>20</volume><issue>3</issue><fpage>161</fpage><lpage>167</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Климов А.В., Климов В.В., Koваль С.А., Свиридова В.С., Koшкарова Н.С., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Климов А.В., Климов В.В., Koваль С.А., Свиридова В.С., Koшкарова Н.С.</copyright-holder><copyright-holder xml:lang="en">Klimov A.V., Klimov V.V., Koval S.A., Sviridova V.S., Koshkarova N.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://bulletin.ssmu.ru/jour/article/view/4493">https://bulletin.ssmu.ru/jour/article/view/4493</self-uri><abstract><p>Локальный аллергический ринит является новой атопической болезнью в современной аллергологии и ринологии. Его клинические симптомы в настоящее время хорошо описаны с проведением сравнения с классическим аллергическим ринитом, но диагностические и терапевтические протоколы, включая аллерген-специфическую иммунотерапию, еще уточняются.Таким образом, локальный аллергический ринит остается недостаточно диагностированной патологией и по ошибке часто относится к группе неаллергических ринитов. Однако патогенез и особенно механизмы срыва аллергенной толерантности при этом эндотипе аллергического ринита остаются неизученными.Продолжаются исследования сети протолерогенных клеток и молекул, включая Т-регуляторные клетки, протолерогенные дендритные клетки, интерлейкин (IL)-10, IL-35, трансформирующий фактор роста b, вегетативную иннервацию носа и нейротрансмиттеры. Цель настоящего обзора сфокусирована на диагностических маркерах локального аллергического ринита.</p></abstract><trans-abstract xml:lang="en"><p>Local allergic rhinitis is a new atopic disease recognized in modern allergy and rhinology. Its clinical symptoms are currently well described and compared with conventional allergic rhinitis, however, diagnostic and therapeutic protocols, including antigen-specific immunotherapy (ASIT), should be specified.</p><p>Therefore, local allergic rhinitis often remains underdiagnosed and by mistake is referred to non-allergic rhinitis. Yet, the pathogenesis and mechanisms of allergen tolerance breakdown in this endotype of allergic rhinitis remain understudied. Researchers continue to study the network of tolerogenic cells and biomolecules, such as regulatory T cells, tolerogenic dendritic cells, interleukin (IL)-10, IL-35, transforming growth factor-β (TGF-b), vegetative innervation of the nose, and neurotransmitters.</p><p> The review focuses on diagnostic markers of local allergic rhinitis. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>локальный аллергический ринит</kwd><kwd>видеориноскопия</kwd><kwd>назальный провокационный тест</kwd><kwd>специфические назальные иммуноглобулины</kwd><kwd>тест активации базофилов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>local allergic rhinitis</kwd><kwd>nasal endoscopy</kwd><kwd>nasal allergen provocation test</kwd><kwd>nasal specific IgE</kwd><kwd>basophil activation test</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Powe D.G., Bonnin A.J., Jones N.S. ‘Entopy’: local allergy paradigm. 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