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Original Research

Chinese Central Compartment Atopic Disease: The Clinical Characteristics and Cellular Endotypes Based on Whole-Slide Imaging

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Pages 341-352 | Published online: 15 Mar 2022

Figures & data

Figure 1 Flow chart of the participants inclusion and exclusion for this study.

Abbreviations: CRS, chronic rhinosinusitis; CT, computed tomography; WSI, whole-slide imaging; CCAD, central compartment atopic disease; ENP, eosinophilic chronic rhinosinusitis with nasal polyps; NENP, non-eosinophilic chronic rhinosinusitis with nasal polyps.
Figure 1 Flow chart of the participants inclusion and exclusion for this study.

Table 1 Demographic Characteristics of Enrolled Patients

Figure 2 The endoscopic characteristics of CCAD, ENP, and NENP. (A), Middle turbinate polyposis in CCAD; (B and C) middle meatus polyps in ENP (B) and NENP (C).

Abbreviations: *, polypoid change of middle turbinate; MT, middle turbinate; NP, nasal polyps; NS, nasal septum; CCAD, central compartment atopic disease; ENP, eosinophilic chronic rhinosinusitis with nasal polyps; NENP, non-eosinophilic chronic rhinosinusitis with nasal polyps.
Figure 2 The endoscopic characteristics of CCAD, ENP, and NENP. (A), Middle turbinate polyposis in CCAD; (B and C) middle meatus polyps in ENP (B) and NENP (C).

Figure 3 The radiographic features of CCAD, ENP and NENP. Note the central focus pattern of diseased sinus in central compartment atopic disease. General CT findings in CCAD (A), ENP (B), and NENP (C). Mucosal thickening involves the medial wall and floor of frontal sinus (D), ethmoid sinus (G), maxillary sinus (J), and sphenoid sinus (M) in CCAD. Mucosal thickening shows a diffused pattern and involves the frontal sinus, ethmoid sinus, maxillary sinus, and sphenoid sinus in ENP (E, H, K, N) and NENP (F, I, L, O).

Abbreviations: CT, computed tomography; CCAD, central compartment atopic disease; ENP, eosinophilic chronic rhinosinusitis with nasal polyps; NENP, non-eosinophilic chronic rhinosinusitis with nasal polyps.
Figure 3 The radiographic features of CCAD, ENP and NENP. Note the central focus pattern of diseased sinus in central compartment atopic disease. General CT findings in CCAD (A), ENP (B), and NENP (C). Mucosal thickening involves the medial wall and floor of frontal sinus (D), ethmoid sinus (G), maxillary sinus (J), and sphenoid sinus (M) in CCAD. Mucosal thickening shows a diffused pattern and involves the frontal sinus, ethmoid sinus, maxillary sinus, and sphenoid sinus in ENP (E, H, K, N) and NENP (F, I, L, O).

Figure 4 Comparison of aeroallergen prevalence of patients with CCAD, ENP, and NENP; *p < 0.05; **p < 0.01; ***p < 0.001.

Abbreviations: CCAD, central compartment atopic disease; ENP, eosinophilic chronic rhinosinusitis with nasal polyps; NENP, non-eosinophilic chronic rhinosinusitis with nasal polyps.
Figure 4 Comparison of aeroallergen prevalence of patients with CCAD, ENP, and NENP; *p < 0.05; **p < 0.01; ***p < 0.001.

Figure 5 Cellular endotypes of CCAD, ENP, and NENP based on the WSI. (A-E) Representative photomicrographs of hematoxylin-eosin staining and heatmaps of eosinophil, neutrophil, lymphocyte and plasma cell in CCAD. (F-J) Representative photomicrographs of hematoxylin-eosin staining and heatmaps of eosinophil, neutrophil, lymphocyte and plasma cell in ENP. (K-O) Representative photomicrographs of hematoxylin-eosin staining and heatmaps of eosinophil, neutrophil, lymphocyte and plasma cell in NENP.

Abbreviations: CCAD, central compartment atopic disease; ENP, chronic rhinosinusitis with nasal polyps; NENP, non-eosinophilic chronic rhinosinusitis with nasal polyps; WSI, whole-slide imaging.
Figure 5 Cellular endotypes of CCAD, ENP, and NENP based on the WSI. (A-E) Representative photomicrographs of hematoxylin-eosin staining and heatmaps of eosinophil, neutrophil, lymphocyte and plasma cell in CCAD. (F-J) Representative photomicrographs of hematoxylin-eosin staining and heatmaps of eosinophil, neutrophil, lymphocyte and plasma cell in ENP. (K-O) Representative photomicrographs of hematoxylin-eosin staining and heatmaps of eosinophil, neutrophil, lymphocyte and plasma cell in NENP.

Figure 6 The cellular proportions in CCAD, ENP and NENP based on WSI. (A) The cellular endotypes in nasal tissues of different phenotypes of CRS. (B) Representative photomicrographs of hematoxylin-eosin staining (400 magnification) in CCAD, ENP, and NENP. Black arrows indicate representative eosinophils. (C) The proportions of eosinophil, neutrophil, lymphocyte and plasma cells in nasal tissues among groups. *P < 0.05, **P < 0.01, ***P < 0.001.

Abbreviations: CCAD, central compartment atopic disease; ENP, chronic rhinosinusitis with nasal polyps; NENP, non-eosinophilic chronic rhinosinusitis with nasal polyps; CRS, chronic rhinosinusitis.
Figure 6 The cellular proportions in CCAD, ENP and NENP based on WSI. (A) The cellular endotypes in nasal tissues of different phenotypes of CRS. (B) Representative photomicrographs of hematoxylin-eosin staining (400 magnification) in CCAD, ENP, and NENP. Black arrows indicate representative eosinophils. (C) The proportions of eosinophil, neutrophil, lymphocyte and plasma cells in nasal tissues among groups. *P < 0.05, **P < 0.01, ***P < 0.001.