PT - JOURNAL ARTICLE AU - A Bourdin AU - D Gras AU - I Vachier AU - P Chanez TI - Upper airway ยท 1: Allergic rhinitis and asthma: united disease through epithelial cells AID - 10.1136/thx.2008.112862 DP - 2009 Nov 01 TA - Thorax PG - 999--1004 VI - 64 IP - 11 4099 - http://thorax.bmj.com/content/64/11/999.short 4100 - http://thorax.bmj.com/content/64/11/999.full SO - Thorax2009 Nov 01; 64 AB - The relationship between allergic rhinitis and asthma is now established, and most of the clinical, epidemiological and biological data recommend integrated management. Epithelial cells represent the first barrier of the upper and lower respiratory tracts and thus are logical targets for a comprehensive integrated therapeutic approach. This review discusses rhinosinusitis as a co-morbid condition, a precipitating or triggering condition, and an epiphenomenon as an integrated part of the disease. A better understanding and a more pragmatic method of diagnosis and management is needed using cost-effective long-term strategies.