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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
Increased risk of otitis media with effusion in allergic children presenting with adenoiditis
Gian Luigi Marseglia1, Fabio Pagella, Davide Caimmi
1Dipartimento di Scienze Pediatriche, Università di Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. gl.marseglia@smatteo.pv.it
Insights
Allergic rhinitis and adenoiditis are key risk factors for childhood otitis media with effusion (OME). The risk of developing OME increases significantly when these conditions occur together.
Area of Science:
- Pediatrics
- Otolaryngology
- Allergy and Immunology
Background:
- Otitis media with effusion (OME) is a prevalent condition in pediatric populations.
- Understanding risk factors for OME is crucial for effective management and prevention strategies.
Purpose of the Study:
- To investigate the association between atopy, specific endoscopic findings, and the presence of OME in children.
- To identify independent predictors of OME in pediatric patients with persistent upper-airway infections.
Main Methods:
- A cross-sectional study involving 287 children with acute upper-airway infections lasting at least ten days.
- Utilized nasal endoscopy and skin-prick tests to evaluate participants.
- Multivariable analysis was employed to determine independent associations.
Main Results:
- Fifty-three children were diagnosed with OME.
- OME was associated with allergic rhinitis, adenoiditis observed during endoscopy, and younger age.
- Concomitant presence of allergic rhinitis and adenoiditis showed a higher risk for OME.
Conclusions:
- Allergic rhinitis and adenoiditis are significant risk factors for the development of OME in children.
- The combined presence of allergic rhinitis and adenoiditis elevates the risk of OME.
- Early identification and management of these conditions may help mitigate OME development.
Objective:
Otitis media with effusion (OME) is a common disorder in childhood. The aim of the study was to assess the association of atopy and endoscopic features with the presence of OME.
Subjects And Methods:
This cross-sectional study evaluated 287 children presenting with acute upper-airway infections persistent for at least ten days and tested through nasal endoscopy and skin-prick test.
Results:
Fifty-three patients had a diagnosis of OME; out of them, 23 showed acute rhinosinusitis, ten adenoiditis, and 20 both features. OME was diagnosed in 26 atopic children and in 27 nonatopic ones. On a multivariable analysis, allergic rhinitis, endoscopic pattern of adenoiditis, and younger age were all shown to be independently associated with a diagnosis of OME.
Conclusions:
This study suggests that allergic rhinitis and adenoiditis are significant risk factors to OME development and that the risk becomes higher when these two conditions are concomitantly present.
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