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Journal Article

Histological changes in chronic allergic tonsillitis

01 Mar 1968-La Clinica otorinolaringoiatrica (Clin Otorinolaringoiatr)-Vol. 20, Iss: 2, pp 116
About: This article is published in La Clinica otorinolaringoiatrica.The article was published on 1968-03-01 and is currently open access. It has received 5 citations till now. The article focuses on the topics: Tonsillitis.
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Journal ArticleDOI
TL;DR: Allergy control may have role in reducing the rate of adenotonsillectomy in children suffering allergic reactions with adenOTonsillar hypertrophy.

64 citations


Cites background from "Histological changes in chronic all..."

  • ...Endo and Bellioni have shown in different studies that allergic reactions of the nasal mucosa are also found in pharyngeal tonsils [11,12]....

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Journal ArticleDOI
TL;DR: The result of this study suggests that in children with seasonal allergic rhinitis the exposure on the allergenic factor can influence the adenoid size.

24 citations

Journal Article
TL;DR: The study shows that allergy and sensitivity to different kinds of allergens are risk factors for adenoid hypertrophy (AH) in children and properly administered nasal steroids and antihistamines can reduce adenoidalhypertrophy and nasal airway obstructive symptoms in atopic children.
Abstract: The tonsils are part of Waldeyer's ring, the basic function of which is antibody formation; they react later against a wide variety of antigens. Allergic sensitization of the airways occurs not only in the mucosa of the afflicted organ, but also in the lymphatic stations draining these structures. The lymphatic structures closest to the nasal mucosa in humans are the adenoids and tonsils. Adenoidal, nasal, and middle ear diseases are frequent health problems in young children. Pediatric adenoidal obstruction of the nasal airway is associated with significant morbidity and is also a frequent indication for surgery. Research done with respect to Waldeyer's ring in people dealing concurrently with allergy is a seldom subject in medical literature, both Polish and world wide. The study shows that allergy and sensitivity to different kinds of allergens are risk factors for adenoid hypertrophy (AH) in children. Histopathological and immunohistochemical studies confirms that tonsil dendritic cells, macrophages, eosinophils, and mast cells are involved in and are important in allergic tonsillitis. Ig synthesis and switching also occur in the adenoid and tonsils. Early treatment of allergic diseases may help reduce the occurrence of AH. Properly administered nasal steroids and antihistamines can reduce adenoidal hypertrophy and nasal airway obstructive symptoms in atopic children.

13 citations

Journal ArticleDOI
TL;DR: Investigating the role of allergic rhinitis in the development of lingual tonsils found that grade 3 representing larger LTH is more commonly seen in patients with allergic Rhinitis results in a higher incidence of LTH.
Abstract: BackgroundLingual tonsils, part of the Waldeyers’ Ring, are located in base of the tongue. They are commonly observed in childhood, due to increased immunological activity. Several factors such as ...

5 citations


Cites background from "Histological changes in chronic all..."

  • ...It is reported that the allergic reactions in the nasal mucousa are also found in the pharyngeal tonsils.(17,18) Similarly, Ameli et al....

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10 Aug 2017
TL;DR: The prevalence of allergic rhinitis which responds to avoidance of specific allergen and intranasal corticosteroid in children who referred with mouth breathing complaints is much higher than adenoid hypertrophy with no response to pharmacological therapy, and in case of proper diagnosis and treatment, a few children will ultimately require surgery.
Abstract: Background and Objectives: Nocturnal snoring and open mouth breathing in children is one of the common causes of referrals to pediatricians. The two most common reasons of this problem are adenotonsillar hypertrophy and allergic rhinitis. Based on the findings, there is still no significant relationship between these two diseases. Therefore, the aim of this study was to determine the frequency of adenoid hypertrophy and allergic rhinitis in children with mouth breathing complaints who referred to the allergy or ENT clinic of Ali Asghar Hospital in Tehran during 2015-2016. Methods: The population included all children between the ages of 4 and 12 years with symptoms of mouth breathing and nocturnal snoring referred to Allergy clinic of Ali Asghar Hospital during 2015-2016. These patients were examined by allergy sub-specialist in terms of atopy, allergic rhinitis, and allergy tests history. Patients were also examined by hospital otolaryngologist and otolaryngologist and the severity of tonsil hypertrophy and conchae was found. A checklist of the patient gender and age, age of the first allergic rhinitis symptoms, clinical signs at referral time, the severity and frequency of allergic rhinitis symptoms, other diseases, selected therapies by doctor, is also completed by researcher. Allergic rhinitis symptoms and adenoid hypertrophy symptoms and severity of asthma, duration of allergic rhinitis symptoms, quality of life, parent's history of smoking in children, and parent's history of snoring were also included in. Results: 104 children at mean age of 6.35 ± 2.65 years were enrolled. Of these, 54.8% were male. Only 17.3% of children had adenoid hypertrophy, and other children had seasonal or perennial allergic rhinitis, or had both of them. The highest prevalence of nasal congestion symptoms was 92.3% and rhinorrhea was 79.8%. Mite allergy was 28.8%, weeds mixtures allergy 26.0%, pollen trees allergy 15.4%, dog and cat's hair allergy in 8.7%, and food allergies in 2.9% of children. The frequency of rhinorrhea, nasal congestion, sneezing, nasal itching, tearing and itching eyes, pulmonary allergy, asthma, gastro esophageal reflux and mites, weeds mixtures, pollen trees, dogs and cats hair allergies was significantly more (p<0.05) in children with allergic rhinitis. However, the frequency of otitis media in children with adenoid hypertrophy was significantly higher than in children with allergic rhinitis (p<0.05). Conclusion: It can be concluded that the prevalence of allergic rhinitis which responds to avoidance of specific allergen and intranasal corticosteroid in children who referred with mouth breathing complaints is much higher than adenoid hypertrophy with no response to pharmacological therapy, and in case of proper diagnosis and treatment, a few children will ultimately require surgery. Therefore, considering the appropriate strategies and planning for early diagnosis and treatment of these patients, can reduce the need for surgery, its complications for patients.

Cites background from "Histological changes in chronic all..."

  • ...Background Adenotonsillar hypertrophy is seen in one third of general population of children (1-5), which is why tonsillectomy is one of the most commonly used surgeries in children's age group (2....

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  • ...Allergic rhinitis is also a common disease with a prevalence of 10-40%, which in fact is an inflammatory reaction in body that engenders after encounter with allergens.(5) Although allergic rhinitis is not a life threatening disease, but associated with Illnesses such as asthma, sinusitis, otitis media, and adenoid hypertrophy (6,7)....

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  • ...) that we daily breathing and also play an important role in the body's innate and adaptive immune system (3-5)....

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