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Published on: September 22, 2023
Upper respiratory tract infections and atopy
F Pollini1, C Capristo, A L Boner
1Department of Pediatrics, University of Verona, Italy.
Insights
Atopy may worsen childhood infections and contribute to chronic rhinosinusitis (CRS) and otitis media with effusion (OME). Obstruction of the osteomeatal complex or Eustachian tube is key to developing these chronic conditions.
Area of Science:
- Pediatrics
- Allergology
- Otolaryngology
Background:
- Upper respiratory tract infections and allergies are prevalent in children.
- Atopy (allergic predisposition) may exacerbate infection symptoms.
Purpose of the Study:
- To explore the link between atopy, infections, and chronic pediatric conditions.
- To identify preliminary events in chronic rhinosinusitis (CRS) and otitis media with effusion (OME).
Main Methods:
- Review of existing literature on pediatric respiratory and allergic diseases.
- Analysis of etiological factors contributing to CRS and OME.
Main Results:
- Atopy, genetic factors, and environmental conditions may lead to CRS and OME.
- Osteomeatal complex obstruction initiates CRS.
- Eustachian tube dysfunction/obstruction precedes OME development.
Conclusions:
- Atopy plays a significant role in the severity of childhood infections.
- Understanding initial obstructive events is crucial for managing chronic CRS and OME in children.
Abstract:
Upper respiratory tract infections and allergic diseases are particularly common in children. It seems that atopy may predispose to more severe symptoms during infections and may facilitate together with other genetic factors and with adverse environmental conditions the occurrence of chronic rhinosinusitis (CRS) and chronic otitis media with effusion (OME). The initial event in CRS is the obstruction of the osteomeatal complex, while obstruction and dysfunction of the Eustachian tube may be the preliminary event for the development of OME.
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