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Chicken or the egg: the dilemma of allergic rhinitis versus adenoid hypertrophy

Erdem Eren, Seçil Arslanoğlu, Semiha Bahçeci Erdem

    Rhinology
    |June 2, 2015
    PubMed

    Insights

    Allergic rhinitis (AR) and adenoid hypertrophy (AH) are inversely related in children. Allergy symptoms like itching and sneezing, along with nasal secretions, help predict AR, not AH.

    Area of Science:

    • Pediatric Otolaryngology
    • Allergy and Immunology

    Background:

    • The relationship between allergic rhinitis (AR) and adenoid hypertrophy (AH) lacks scientific consensus.
    • Investigating the role of allergy in pediatric adenoid hypertrophy is crucial for understanding upper airway conditions.

    Purpose of the Study:

    • To evaluate the role of allergy in the development of adenoid hypertrophy (AH) in children.
    • To explore the diagnostic utility of nasal endoscopy and patient history in identifying allergic rhinitis (AR) in children.

    Main Methods:

    • A cohort of 155 children was studied between January and September 2013.
    • Skin prick testing was performed to assess allergic sensitization.
    • Nasal endoscopy and patient-reported symptoms (itching, sneezing) were analyzed.

    Main Results:

    • A significant negative correlation was observed between adenoid hypertrophy (AH) and allergic rhinitis (AR).
    • Positive skin prick tests were found in 65.2% of children, with 75.2% showing multiple allergen sensitivity.
    • Itching, sneezing, and nasal secretion characteristics were significant predictors for diagnosing AR.

    Conclusions:

    • Adenoid hypertrophy (AH) and allergic rhinitis (AR) are inversely associated in the pediatric population.
    • Clinical indicators such as nasal secretions, itching, and sneezing are valuable in the empirical diagnosis of AR in children.
    Abstract

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