https://m2.mtmt.hu/ hun 2026-04-15 01:20 JournalArticle 34048636 VALIDATED true 0 false 2026-01-15T13:32:54.167+0000 2023-12-05T11:56:23.381+0000 2023-07-06T09:19:10.822+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true 2026-01-15T13:23:23.281+0000 2026-01-15T13:23:23.281+0000 2023-07-06T09:29:44.912+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000359 Study Group true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000359 Sokszerzős vagy csoportos szerzőségű szakcikk SubType 104 true 10000359 true 1 /api/category/1 Category true 1 Bousquet, J. Rhinitis associated with asthma is distinct from rhinitis alone: The ARIA-MeDALL hypothesis true true /api/journal/10036634 REVIEWED true false 10036634 false 10036634 true 0105-4538 1398-9995 Journal FOREIGN 78 5 1169 1203 1169 35 2023 Asthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of "one-airway-one-disease," coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the "Epithelial Barrier Hypothesis." This review determined that the "one-airway-one-disease" concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme "allergic" (asthma) phenotype combining asthma, rhinitis, and conjunctivitis. Rhinitis alone and rhinitis and asthma multimorbidity represent two distinct diseases with the following differences: (i) genomic and transcriptomic background (Toll-Like Receptors and IL-17 for rhinitis alone as a local disease; IL-33 and IL-5 for allergic and non-allergic multimorbidity as a systemic disease), (ii) allergen sensitization patterns (mono- or pauci-sensitization versus polysensitization), (iii) severity of symptoms, and (iv) treatment response. In conclusion, rhinitis alone (local disease) and rhinitis with asthma multimorbidity (systemic disease) should be considered as two distinct diseases, possibly modulated by the microbiome, and may be a model for understanding the epidemics of chronic and autoimmune diseases. true 2023 true true true false false NONE 2026-01-15 false 75 0 75 45 2 75 75 75 10 75 75 45 45 45 30 0 75 45 75 45 0 4 4 Folyóiratcikk Journal Article 24 75 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2023 0 7 3 7 3 2024 0 36 24 36 24 2025 0 30 18 30 18 2026 0 2 0 2 0 D1 false 10023615 false false false 2023-07-05T09:29:44.771+0000 Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika (SE / AOK / K) 1 4 1 250 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 109166839 /api/authorship/109166839 1 0.0 true false true Bousquet J. true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 109166840 /api/authorship/109166840 2 0.0 false false false Melen E. true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 109166841 /api/authorship/109166841 3 0.0 false false false Haahtela T. true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 109166842 /api/authorship/109166842 4 0.0 false false false Koppelman G. 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(<span class="authorship-author-name">Kraxner Helga</span> <span class="authorAux-mtmt"> fül-orr-gégészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika</span> ;&nbsp;&nbsp;&nbsp; et al. (250) </div> <div><a target="_blank" href="/api/publication/34048636?labelLang=hun">Összes szerző</a></div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;34048636" target="_blank">Rhinitis associated with asthma is distinct from rhinitis alone: The ARIA-MeDALL hypothesis</a></div> <div> <span class="journal-title">ALLERGY: EUROPEAN JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0105-4538">0105-4538</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1398-9995">1398-9995</a>)</span>: <span class="journal-volume">78</span> <span class="journal-issue">5</span> <span class="page"> pp 1169-1203 </span> <span class="year">(2023)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1111/all.15679" target="_blank" href="https://doi.org/10.1111/all.15679"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000992600500005" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000992600500005"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85151968548" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85151968548"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="36799120" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=36799120&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Immunology&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Immunology and Allergy&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 75</span> | Független: 45 | Függő: 30 | Nem jelölt: 0 | WoS jelölt: 75 | Scopus jelölt:&nbsp;10 | WoS/Scopus jelölt:&nbsp;75 | DOI jelölt:&nbsp;75 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;34048636&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 4 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 34048636</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Sokszerzős vagy csoportos szerzőségű szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WOS TAGGED</span> </div> <div class="lastModified">Utolsó módosítás: 2023.12.05. 12:56 Wolf György (MTMT Központi admin) </div> </div></div>