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Meeting abstract

Allergic Rhinitis and Adenoidal Hypertrophy

Ivana Pajić Matić orcid id orcid.org/0000-0002-2997-711X ; Opća bolnica "Dr. Josip Benčević" Slavonski Brod, Andrije Štampara 42, 35000 Slavonski Brod, Hrvatska
Dino Damjanović
Karolina Veselski orcid id orcid.org/0000-0001-5974-4862
Ivo Matić


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Abstract

Background: Allergic rhinits is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. The underlying mechanism involves IgE antibodies that attach to an allergen, and subsequently result in the release of inflammatory chemicals such as histamine from mast cells. It is triggered by environmental allergens such as pollen, pet, hair, dust or mold. Inherited genetics and environmental exposures contribute to the development of allergies. Signs and symptoms of allergic rhinitis are runny or stuffy nose and it can affect sleep and normal daily functions. Adenoidal hypertrphy is the unusual growth of the adenoid (pharyngeal tonsil) that causes an obstruction of the nasal airways. Adenoids start to get sizable during the first year of life and reach maximal volume in the age group of 5-6 years. Just how big the adenoids become is quite variable among individual children.
Objective: To determine the relationship between adenoid hypertrophy and allergic rhinits in children.
Methods: Retrospective study of clinical studies for adenoid hypertrophy in children with allergic rhinitis.
Results: Some authors found that patients with allergic rhinitis have larger adenoidal tissue, but most of them found a reverse clinical picture with possible interpretation that severe anterior nasal obstruction, mainly caused by allergy, affects the passage of allergens able to stimulate adenoid tissue to enlarge. Infections may also play a more important role in the absence of allergy.
Conclusion: In children with allergic rhinitis, we should not only look for adenoidal hypertrophi. ENT doctor must pay attention to the anterior nasal obstruction by inferior turbinate hypertrophy.

Keywords

allergic rhinitis; adenoid hypertrophy; children

Hrčak ID:

234580

URI

https://hrcak.srce.hr/234580

Publication date:

27.2.2020.

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