Chicken or the egg: the dilemma of allergic rhinitis versus adenoid hypertrophy
Chicken or the egg: the dilemma of allergic rhinitis versus adenoid hypertrophy
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DOI：
10.4193/rhin14.013
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发表时间：
2015-06-01
期刊：
影响因子：
7.2
通讯作者：
Onal, Kazim
中科院分区：
文献类型：
--
作者：
Eren, Erdem;Arslanoglu, Secil;Onal, Kazim
背景：关于变应性鼻炎（AR）是否是腺样体肥大（AH）的原因，目前尚无共识。材料与方法：2013年1月至9月在伊兹密尔贝赫塞特乌兹儿童医院连续入选155例儿童，其中101例（65.2%）患者皮肤点刺试验阳性。在这些患者中，76例（75.2%）确定了多种过敏原敏感性。瘙痒和打喷嚏病史对儿童变应性鼻炎的经验性诊断有预测价值。在鼻腔检查结果中，只有鼻分泌物特征具有显著的预测价值。结论：在本研究中，AH与AR呈负相关。鼻分泌物的特征、瘙痒、打喷嚏是儿童AR的预测因子。
Background: There is no consensus as to whether allergic rhinitis (AR) is a cause of adenoid hypertrophy (AH). This study evaluated the role of allergy in AH, and it explored the role of nasal endoscopy and the history of diagnosing AR in children empirically.Materials and Methods: This study enrolled 155 children consecutively in Izmir Behcet Uz Children's Hospital between January and September 2013.Results: Of the patients, 101(65.2%) had a positive skin prick test. Multiple allergen sensitivity was identified in 76(75.2%) of these patients. The history items of itching and sneezing had predictive value for empirically diagnosing AR in children. Of the nasal examination findings, only the nasal secretion characteristics had significant predictive value. AH and AR had a significant negative correlation.Conclusion: In this study, AH and AR were inversely related. The characteristics of the nasal secretions, itching, sneezing, were predictors of AR in children.