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Nasal hypersensitivity and recurrent adenoids disease
F Filiaci1, G Zambetti, A Lovecchio
1ENT Department, University of Rome La Sapienza, Italy.
Allergologia Et Immunopathologia
|July 1, 1997
Summary
Nasal hypersensitivity (NH) is strongly linked to recurrent adenoid disease in children. This condition persists even after adenoidectomy, impacting adult airway health.
Area of Science:
- Pediatric Otolaryngology
- Allergy and Immunology
Background:
- Recurrent adenoid disease is a common pediatric condition.
- Nasal hypersensitivity (NH) may play a role in its pathogenesis.
Purpose of the Study:
- To investigate the prevalence and characteristics of NH in children with recurrent adenoid disease.
- To explore the correlation between NH and adenoid disease, including familial and immunological factors.
Main Methods:
- Study included 41 pediatric patients with recurrent adenoids.
- Methods: clinical history, ENT examination, skin-test, RAST, histamine nasal provocation tests, and sneeze counts.
Main Results:
- Nasal hypersensitivity (NH) was present in 57% of subjects.
- NH showed familial transmission in 53.6% and was linked to inflammation and early socialization.
- Hypogammaglobulinemia was observed in 14.6% of cases.
Conclusions:
- A significant correlation exists between NH and recurrent adenoid disease.
- NH persists post-adenoidectomy and affects adult airway responses.
- NH has diagnostic and therapeutic implications for recurrent adenoid disease.