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Davidsson, Åke
Publications (10 of 11) Show all publications
Pedersen, L., Schiöler, L., Finjan, S., Davidsson, Å., Sunnergren, O., Holmberg, K., . . . Hellgren, J. (2019). Prognostic factors for outcome after septoplasty in 888 patients from the Swedish National Septoplasty Register. European Archives of Oto-Rhino-Laryngology, 276(8), 2223-2228
Open this publication in new window or tab >>Prognostic factors for outcome after septoplasty in 888 patients from the Swedish National Septoplasty Register
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2019 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 276, no 8, p. 2223-2228Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The aim of this study was to identify predictors of outcome after septoplasty in 888 patients from the Swedish National Septoplasty Register.

METHODOLOGY: This is an observational register study analysing data from patients undergoing septoplasty in Sweden between 2015 and 2016. The patients reported severity of nasal obstruction (mild, moderate, severe) pre- and again 12 months postoperatively (none, mild, moderate, severe), unplanned visits within 30 days after surgery. The examining doctor reported co-morbidities such as allergic rhinitis and snoring. The primary end-point was one level improvement of the nasal obstruction 12 months after surgery.

RESULTS: Nasal obstruction had improved in 63% 12 months after surgery. Twelve months after surgery, 81% with severe nasal obstruction and 31% with mild nasal obstruction before surgery had improved. Only 56% reported that the results of the surgery were as they had expected. Higher patient age at surgery, no unplanned visits within 1 month of surgery and activity limitation before surgery were associated with improvements in nasal breathing in the logistic regression model.

CONCLUSION: Septoplasty should be offered to patients with severe nasal obstruction and surgery should be avoided in mild nasal obstruction confirmed by both an improvement in nasal obstruction and patient expectations in this study.

Place, publisher, year, edition, pages
Springer Publishing Company, 2019
Keywords
Nasal breathing, Nasal obstruction, Outcome, Register study, Septoplasty
National Category
Otorhinolaryngology
Identifiers
urn:nbn:se:oru:diva-74200 (URN)10.1007/s00405-019-05440-6 (DOI)000475671600015 ()31037387 (PubMedID)2-s2.0-85065212036 (Scopus ID)
Note

Funding Agencies:

Swedish government

county councils, the ALF agreement

Available from: 2019-05-15 Created: 2019-05-15 Last updated: 2019-08-12Bibliographically approved
Holmström, M., Davidsson, Å. & Hellgren, J. (2016). Allergisk rinit drabbar en tredjedel av befolkningen: Individualiserad behandling viktig för att uppnå symtomfrihet. Läkartidningen, 113(14)
Open this publication in new window or tab >>Allergisk rinit drabbar en tredjedel av befolkningen: Individualiserad behandling viktig för att uppnå symtomfrihet
2016 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, no 14Article in journal (Refereed) Published
Abstract [en]

Allergic rhinitis is the most common form of allergy with a prevalence of 30%. Allergic rhinitis is associated with substantial health economic costs and patient suffering. Asthma is strongly associated with allergic rhinitis. The treatment of allergic rhinitis should be individualized and include the whole airway. The treatment goals should be a patient free of symptoms affecting their daily life or sleep.

Place, publisher, year, edition, pages
Stockholm: Läkartidningen förlag AB, 2016
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-49814 (URN)27046750 (PubMedID)
Available from: 2016-04-13 Created: 2016-04-12 Last updated: 2018-07-10Bibliographically approved
Davidsson, Å. (2014). Allergidagen med temat: "Födoämnesöverkänslighet". Lung och alllergiforum (4), 29-33
Open this publication in new window or tab >>Allergidagen med temat: "Födoämnesöverkänslighet"
2014 (Swedish)In: Lung och alllergiforum, ISSN 2000-5237, no 4, p. 29-33Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: Svensk Lungmedicinsk Förening och Svenska Föreningen för Allergologi, 2014
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-40104 (URN)
Available from: 2014-12-31 Created: 2014-12-31 Last updated: 2017-10-17Bibliographically approved
Davidsson, Å. & Holmström, M. (2014). Näspolyper och den täppta näsan. Fagbladet Allergi i praksis (2), 16-20
Open this publication in new window or tab >>Näspolyper och den täppta näsan
2014 (Swedish)In: Fagbladet Allergi i praksis, ISSN 0806-5462, no 2, p. 16-20Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Oslo, Norway: Norges Astma- og Allergiforbund, 2014
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-40103 (URN)
Note

Engelsk titel på artikeln: Nasal polyps and the stuffed nose.

Available from: 2014-12-31 Created: 2014-12-31 Last updated: 2017-12-05Bibliographically approved
Hellquist, H. B., Karlsson, M. G., Karlsson, C., Viale, G., Dell'Orto, P., Davidsson, Å. & Olofsson, J. (1996). Bcl-2 immunoreactivity in salivary gland neoplasms is unrelated to the expression of mRNA for natural killer cell stimulatory cytokines interleukin (IL)-2 and IL-12. Virchows Archiv, 429(2-3), 149-158
Open this publication in new window or tab >>Bcl-2 immunoreactivity in salivary gland neoplasms is unrelated to the expression of mRNA for natural killer cell stimulatory cytokines interleukin (IL)-2 and IL-12
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1996 (English)In: Virchows Archiv, ISSN 0945-6317, E-ISSN 1432-2307, Vol. 429, no 2-3, p. 149-158Article in journal (Refereed) Published
Abstract [en]

Certain cytokines are involved in the generation of natural killer (NK) cells and participate in the regulation of the proto-oncogene bcl-2. We aimed to study the mRNA expression of interleukin (IL)-2, IL-4 and IL-5, the composition of the tumour infiltrating lymphocytes (TIL), and the expression of bcl-2 in 14 benign and malignant human parotid tumours. T IL were predominantly composed of T lymphocytes and NK cells. We found evidence for the homing of T cells, and for generation of NK cells in the vicinity of the tumours. mRNA for IL-2 and IL-12, were identified but IL-4 mRNA was not found. The cytokine profiles and the composition of TIL of the two tumour categories were indistinguishable, suggesting that these host-response variables do not explain the differences in biological behaviour of these particular tumours. The results support a shift towards Th 1 (T helper 1) cells and interferon-gamma production, and that IL-12 also in vivo may play an important role in the regulatory interaction between innate resistance and adaptive immunity in tumour diseases. Most infiltrating lymphocytes showed strong expression of bcl-2; an interesting observation with regard to lymphocytic apoptosis in neoplastic diseases. The immunoreactivity for the bcl-2 protein varied considerably between and within tumours, and almost all benign tumours showed strong bcl-2 positively whereas several of the malignant tumours showed weak or absent staining. The variable expression of bcl-2 protein suggests a different susceptibility of tumour cells to apoptosis. The results also indicate that bcl-2 cannot pla a major role as protective agent in the specific apoptotic pathway induced by NK cells.

Place, publisher, year, edition, pages
New York, USA: Springer, 1996
Keywords
Salivary gland neoplasms, cytokines, bcl-2, apoptosis, NK cells
National Category
Cancer and Oncology Clinical Laboratory Medicine
Identifiers
urn:nbn:se:oru:diva-49542 (URN)10.1007/BF00192437 (DOI)A1996VQ04300010 ()8917716 (PubMedID)2-s2.0-0029910973 (Scopus ID)
Available from: 2016-03-27 Created: 2016-03-27 Last updated: 2017-11-30Bibliographically approved
Davidsson, Å., Danielsen, A., Viale, G., Olofsson, J., Dell'Orto, P., Pellegrini, C., . . . Hellquist, H. B. (1996). Positive identification in situ of mRNA expression of IL-6, and IL-12, and the chemotactic cytokine RANTES in patients with chronic sinusitis and polypoid disease. Clinical relevance and relation to allergy. Acta Oto-Laryngologica, 116(4), 604-610
Open this publication in new window or tab >>Positive identification in situ of mRNA expression of IL-6, and IL-12, and the chemotactic cytokine RANTES in patients with chronic sinusitis and polypoid disease. Clinical relevance and relation to allergy
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1996 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 116, no 4, p. 604-610Article in journal (Refereed) Published
Abstract [en]

Interleukins 6 (IL-6) and 12 (IL-12), and the chemoattractant chemokine RANTES were studied in ethmoidal mucosa, using reverse transcriptase polymerase chain reaction. The 49 patients had chronic sinusitis or nasal/paranasal polyposis, and some also allergy. To the best of our knowledge, this is the first study that demonstrates RANTES and IL-12 on mRNA level in human sinonasal mucosa in situ. mRNA for IL-6, IL-12 and RANTES were detected in 2, 8 and 6 patients with chronic sinusitis, respectively, and in mucosa from patients with polyposis a positive expression was observed in 4, 14 and 10 cases. There were no statistically significant differences. Analysing the entire group of 49 patients, disregarding type of mucosal disease, the number of patients with positive RANTES was significantly higher than that for IL-6. Similarly, IL-12 positivity was more frequently expressed than IL-6. mRNA for IL-6 was expressed in only 2 of the allergic patients. The cytokine production studied thus seems to be unrelated to the clinically defined entities. There is thus a local production in human diseased sinonasal mucosa of RANTES, as well as of IL-6 and IL-12. The local production of RANTES is an important prerequisite for recruitment and migration of inflammatory cells into the tissue. IL-12 is a co-stimulator of antigen-specific responses of established T helper 1 (Th1) clones, and regulates the responsiveness of the clones to a number of T cell growth factors. The study supports a shift towards Th1 cells in these disease entities.

Place, publisher, year, edition, pages
Oxfordshire, United Kingdom: Taylor & Francis, 1996
Keywords
Cytokines, chemokines, inflammatory mediators, sinustis, nasal polyposis
National Category
Respiratory Medicine and Allergy Clinical Laboratory Medicine
Identifiers
urn:nbn:se:oru:diva-49525 (URN)10.3109/00016489609137897 (DOI)A1996UV55700018 ()8831850 (PubMedID)2-s2.0-0029885776 (Scopus ID)
Available from: 2016-03-25 Created: 2016-03-25 Last updated: 2017-11-30Bibliographically approved
Karlsson, M. G., Davidsson, Å., Viale, G., Graziani, D. & Hellquist, H. B. (1995). Nasal messenger RNA expression of interleukins 2, 4, and 5 in patients with allergic rhinitis. Diagnostic molecular pathology (Print), 4(2), 85-92
Open this publication in new window or tab >>Nasal messenger RNA expression of interleukins 2, 4, and 5 in patients with allergic rhinitis
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1995 (English)In: Diagnostic molecular pathology (Print), ISSN 1052-9551, E-ISSN 1533-4066, Vol. 4, no 2, p. 85-92Article in journal (Refereed) Published
Abstract [en]

In nasal biopsies from 17 adult patients with seasonal allergic rhinitis and from 10 healthy controls, cytokines were analyzed by reverse-transcriptase polymerase chain reaction (RT-PCR). The time-course study during winter included repeated local allergen provocation with subsequent nasal biopsies as well as biopsies taken during pollen season. The RT-PCR for CD44 yielded positive bands in 65 of 71 cases, in which cases mRNA for interleukins 2, 4, and 5 (IL-2, IL-4, and IL-5) were thus investigated by means of seminested PCR. IL-4 mRNA was found almost exclusively in the allergic patients. During provocation a significant increase in IL-4 was noticed compared with controls (p = 0.043). Equally, during the natural pollen season, IL-4 mRNA expression was significantly higher in patients not using nasal corticosteroids compared with those who did (p = 0.011). No differences in IL-2 or IL-5 were observed between the groups. These findings also indicate, together with earlier observations of T-cell activation, a phenotype switch toward T-helper 2 (Th2) cells, and the accumulation (homing) of these T cells in the nasal mucosa, that T cells constitute the main source for IL-4 in the nasal mucosa. Therefore, allergic patients have an increased synthesis of IL-4 when provoked with the allergen, and during natural pollen season this synthesis can be downregulated by corticosteroids. Furthermore, this study exemplifies the versatility of molecular biology in surgical pathology and that even low-copy-number cytokine mRNA can be examined in routinely snap-frozen surgical specimens.

Place, publisher, year, edition, pages
Philadelphia, USA: Lippincott Williams & Wilkins, 1995
National Category
Respiratory Medicine and Allergy Clinical Laboratory Medicine
Identifiers
urn:nbn:se:oru:diva-49526 (URN)A1995QY36600003 ()7551298 (PubMedID)2-s2.0-0029004742 (Scopus ID)
Available from: 2016-03-25 Created: 2016-03-25 Last updated: 2017-11-30Bibliographically approved
Davidsson, Å., Karlsson, M. G. & Hellquist, H. B. (1994). Allergen-induced changes of B-cell phenotypes in patients with allergic rhinitis. Rhinology, 32(4), 184-190
Open this publication in new window or tab >>Allergen-induced changes of B-cell phenotypes in patients with allergic rhinitis
1994 (English)In: Rhinology, ISSN 0300-0729, E-ISSN 1996-8604, Vol. 32, no 4, p. 184-190Article in journal (Refereed) Published
Abstract [en]

We investigated sub-populations of B-lymphocytes in nasal mucosa and peripheral blood of 17 patients with seasonal allergic rhinitis (birch pollen) and 10 controls. The study included provocation with allergen during the non-pollen season, during which no participant used medication. Samples were also taken during the pollen season. Subsets of B-cells as expressed by different CD antigens were investigated by immunohistochemistry on frozen sections and by flow cytometry of peripheral blood. Nasal CD23+ B-cells decreased in allergic patients during provocation, indicating that mature virgin CD23+ B-cells switch into a memory B-cell phenotype with loss of CD23 expression. This indicates differentiation towards cells that can represent a local source for IgE synthesis. No decrease was observed during the pollen season when the patients used medication. Serum IgE was significantly higher in allergic patients on all occasions. The observed up-regulation of CD40 expression on peripheral blood B-cells in allergic patients during the pollen season clearly indicate B-cell activation. Furthermore, a relative increase of CD19+ B-cells was observed in peripheral blood during provocation. Upregulation (by IL-4) of CD40 on B-cells which then may be stimulated by gp39 (CD40 ligand) can constitute an early and important event in the IgE-mediated allergic reaction.

Place, publisher, year, edition, pages
Amsterdam, Netherlands: International Rhinologic Society, 1994
National Category
Clinical Laboratory Medicine Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-49528 (URN)7535471 (PubMedID)2-s2.0-0028650363 (Scopus ID)
Available from: 2016-03-25 Created: 2016-03-25 Last updated: 2017-11-30Bibliographically approved
Karlsson, M. G., Davidsson, Å. & Hellquist, H. B. (1994). Increase in CD4+ and CD45RO+ memory T cells in the nasal mucosa of allergic patients. Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS), 102(10), 753-758
Open this publication in new window or tab >>Increase in CD4+ and CD45RO+ memory T cells in the nasal mucosa of allergic patients
1994 (English)In: Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS), ISSN 0903-4641, E-ISSN 1600-0463, Vol. 102, no 10, p. 753-758Article in journal (Refereed) Published
Abstract [en]

By means of immunocytochemistry we have investigated subsets of T lymphocytes in frozen sections of nasal mucosa from patients with seasonal allergic rhinitis and healthy control persons. All participants were subjected to time-course provocation during the non-pollen season, and samples were taken during provocation as well as during the natural pollen season. Computerized image analysis was applied for evaluation of the immunostained lymphocytes. CD45RO+ memory T cells outnumbered the remaining leukocyte populations in the mucosa of both allergic patients and controls on all occasions. During the repeat provocation there was no difference in numerical values, with respect to any of the five leukocyte subpopulations studied (CD4, CD8, CD25, CD45RA and CD45RO), between patients and controls. However, during continuous exposure in the pollen season a significant increase in CD4+ cells was observed in allergic patients compared to before provocation (p < 0.05). No changes were observed with respect to CD8+ and CD25+ cells. Similarly, an increase in CD45RO+ memory was found in allergic patients during the pollen season compared to the non-pollen season (p < 0.02). This latter finding was, however, only evident in the patients who did not use nasal corticosteroids. Hence the present investigation has demonstrated an allergen-induced increase in CD4+ and CD45RO+ memory T cells in the mucosa of allergic patients during the pollen season. These events may constitute a cellular basis for local continuous production of certain cytokines, particularly interleukin-4, which is essential for IgE synthesis.

Place, publisher, year, edition, pages
Hoboken, USA: Wiley-Blackwell, 1994
Keywords
T lymphocytes, T helper cells, memory T cells, nasal allergy, immunocytochemistry
National Category
Respiratory Medicine and Allergy Clinical Laboratory Medicine
Identifiers
urn:nbn:se:oru:diva-49529 (URN)10.1111/j.1699-0463.1994.tb05230.x (DOI)A1994QB49000005 ()7826604 (PubMedID)2-s2.0-0028555777 (Scopus ID)
Available from: 2016-03-25 Created: 2016-03-25 Last updated: 2017-11-30Bibliographically approved
Karlsson, M. G., Davidsson, Å. & Hellquist, H. B. (1994). Quantitative computerized image analysis of immunostained lymphocytes: A methodological approach. Pathology, Research and Practice, 190(8), 799-807
Open this publication in new window or tab >>Quantitative computerized image analysis of immunostained lymphocytes: A methodological approach
1994 (English)In: Pathology, Research and Practice, ISSN 0344-0338, E-ISSN 1618-0631, Vol. 190, no 8, p. 799-807Article in journal (Refereed) Published
Abstract [en]

A methodological approach by computerized image analysis to quantify immunostained objects in histological sections is described. We have investigated antibodies against CD4, CD8, CD20, CD23 and CD25 in frozen sections of human nasal mucosa; however, the methodology of standardization is of general validity. The study was designed particularly to investigate the following points: 1) light intensity, 2) the grey level for counter staining intensity, 3) the grey level threshold value for positive objects, 4) the minimal acceptable size of a positive object, 5) the influence of the brightness of the light on both the number and the area of objects. Furthermore, random sampling and determination of 6) the area per section, and 7) the number of histological sections to be measured per biopsy. Finally, a study of reproducibility of immunostaining intensity was performed. The influence of the different parameters mentioned above was studied and the values (eg. threshold value) for our particular setting of microscope, image analysis equipment, computer software etc, were defined. The method was then tested for intra- and interindividual variation which was found to be less than 5%. Correlation analysis of the reproducibility gave coefficients of correlation of 0.99, both concerning number of immunopositive objects and immunopositive area. We emphasize the importance of a highly standardized methodology if the numeric data obtained from computer assisted image analysis are to be more accurate than semiquantitative assessments by experienced observers. With a thorough standardization as described in this method it is possible to obtain numeric values, and data with low deviations, which are two obvious and important advantages.

Place, publisher, year, edition, pages
München, Germany: Elsevier, 1994
Keywords
Image analysis, lymphocytes, immunohistocbemistry
National Category
Clinical Laboratory Medicine Biomedical Laboratory Science/Technology
Identifiers
urn:nbn:se:oru:diva-49530 (URN)10.1016/S0344-0338(11)80428-0 (DOI)A1994PM11200009 ()7831157 (PubMedID)2-s2.0-0027931152 (Scopus ID)
Available from: 2016-03-25 Created: 2016-03-25 Last updated: 2017-11-30Bibliographically approved
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