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Atopy in children with otitis media with effusion
C Caffarelli1, E Savini, S Giordano
1Paediatric Department, University of Parma, Italy.
Summary
Atopy symptoms are more common in children with otitis media with effusion (OME), but skin-prick tests show no difference. Allergic rhinitis and atopic eczema in children warrant OME investigation.
Area of Science:
- Pediatric Allergy and Immunology
- Otolaryngology
- Epidemiology
Background:
- Prevalence of atopy in children with otitis media with effusion (OME) is debated.
- Determining the need for atopy screening in OME patients is crucial.
Purpose of the Study:
- To investigate the relationship between OME and atopy in children.
Main Methods:
- 172 children with OME and 200 controls were evaluated.
- Methods included a questionnaire, skin-prick tests, and clinical assessment for allergic symptoms.
Main Results:
- No significant difference in family history of atopy or skin-prick test results between groups.
- Symptoms associated with atopy were more frequent in the OME group (P<0.001).
- Only allergic rhinitis and atopic eczema showed a significant association with OME.
Conclusions:
- Positive skin-prick test results are not more common in children with OME.
- Concomitant atopy symptoms may contribute to OME pathogenesis.
- Children with allergic rhinitis or atopic eczema require tympanometry for OME screening.