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Published on: August 7, 2017
[Characteristics of clinico-biochemical indicators in obese children with chronic tonsillitis]
Insights
Obesity is common in children with chronic tonsillitis (CT), with pathological phospholipids found in tonsil tissue. This suggests obesity negatively impacts tonsil structure in pediatric patients.
Area of Science:
- Pediatrics
- Immunology
- Biochemistry
Background:
- Chronic tonsillitis (CT) is prevalent in obese children.
- Obesity may be linked to frequent tonsillitis episodes.
- CT presents differently across age groups in obese children.
Purpose of the Study:
- To investigate the prevalence of CT in obese children.
- To analyze tonsil tissue for pathological phospholipids in relation to obesity.
- To understand the impact of obesity on tonsil structure.
Main Methods:
- Pharyngoscopy to assess tonsil hypertrophy and edema.
- Tonsillectomy for 35 patients.
- Biochemical analysis of tonsil tissue for phospholipids.
Main Results:
- 63.1% of 190 obese children (3-15 years) had CT.
- Pathological phospholipids (lysophosphatidylcholine, phosphatidylinositol) increased with obesity.
- Tonsil edema and hypertrophy observed in 74.1% of patients.
Conclusions:
- Obesity is strongly associated with chronic tonsillitis in children.
- Increased pathological phospholipids in tonsils suggest a negative impact of obesity on tonsil structure.
- Further research is needed to elucidate the mechanisms linking obesity and CT.
Abstract:
Chronic tonsillitis (CT) was found in 63.1% of 190 obese children aged 3-15 years, 15% of them had no quinsy in the past. Onset of obesity was attributed to frequent quinsy in 18.3% of the examinees. Marked CT exacerbations were more typical for the children aged 6-7 years (10%). In 12-15-year-olds the disease tended to a sluggish course with scarce symptoms (25.8%). Pharyngoscopy discovered edema and hypertrophy of the tonsils in 74.1% of the patients. 35 patients underwent tonsillectomy. Examination of the removed tonsil tissue for phospholipids revealed pathological phospholipids lysophosphatidylcholine and phosphatidylinosite the quantities of which rose with growing obesity. It may be the result of negative action of obesity on tonsil structure.
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Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.
Tonsillitis II: Management

