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[Recurrent otitis media with effusion and food allergy in pediatric patients]
1Facultad de Química Ciudad Universitaria Cerro de las Campanas 76010 Querétaro Qro.
Insights
Recurrent otitis media with effusion in children is linked to food allergies. Identifying and eliminating trigger foods significantly improved ear conditions, suggesting allergy testing for persistent ear issues.
Area of Science:
- Pediatric Allergy and Immunology
- Otolaryngology
- Clinical Nutrition
Context:
- Recurrent otitis media with effusion (OME) is a common pediatric concern.
- A potential link between OME and food allergy has been suggested.
- Existing research requires further investigation into this association.
Purpose:
- To investigate the association between recurrent OME and diagnosed food allergies.
- To determine if specific food allergens correlate with OME development.
- To evaluate the impact of dietary food elimination on OME symptoms.
Summary:
- A study of 25 children with OME and food allergy found common triggers: milk, egg, beans, citrus, and tomato.
- Dietary elimination of identified allergens resolved OME in 22 patients.
- Food challenges confirmed the causal relationship between specific foods and OME recurrence.
Impact:
- Establishes a significant association between food allergy and recurrent OME in children.
- Recommends investigating food allergies in pediatric patients with recurrent OME.
- Highlights the therapeutic potential of dietary interventions for OME management.
Introduction:
Recurrent otitis media with effusion continues to be important pediatric clinical problem and is related to food allergy.
Objective:
The purpose of the present investigation was to determine if the recurrent otitis media with effusion was associated to food allergy.
Methods:
We reviewed medical charts from children with food allergy and otitis media with effusion for a period of three months of duration or every month for the last six months seen in an allergy clinic. Patients with anatomic abnormalities, polypous or immunologic deficiencies were excluded. Every patient was challenged with foods to which he/she was allergic in order to demonstrate cause-effect. In all patients we performed tympanometries.
Results:
We found twenty five patients with recurrent otitis media with effusion and food allergy demonstrated by positive skin testing. The most common food found to be associated was milk, egg, beans, citrus, and tomato. The elimination of the food diet led to a significant amelioration of the otitis in 22 patients, in whom clinical and tympanometry evaluation was performed. The challenge diet with suspected offending food provoked a recurrence of the otitis problem.
Conclusion:
These results demonstrated the association between recurrent otitis media with effusion and food allergy. Therefore, all patients with recurrent otitis media with effusion should be investigated for food allergy.
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