[Indications of immunologic evaluation in recurrent otorhinolaryngologic infections in children].
Happening of 3 to 5 E.N.T. infections per year is often the price to pay by the young child to obtain his immunological maturity. Frequency and seriousness of the recurrencies leading to surgical interventions, results of which being doubtful and temporary (specially in ear infections) enforce differentiated immunological evaluations: graduating in methodology will be in accordance with the seriousness of happening cases. Our method involves different steps. Usual investigations will lead to easy and efficient treatment: research of the deficiency of iron, titration of immunoglobulin and IgG2, screening for inhalant allergy (Phadiatop test), eventually completed by allergological check up. Suppurations due to unusual microbial agents or fungus, must lead to a wider immunological check up, specially in case of multiple localizations, and in familial background. This check up, testing humoral and cellular immunity (lymphocytes and polynuclears) is mandatory heavy due to the number, the cost and recurrence of needed investigations. Its purpose is to show congenital or hereditary immunological deficiencies, which, however, happen scarcely.
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Perrin
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Lascombes
D000233:Adenoidectomy; D002648:Child; D002675:Child, Preschool; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000276:immunology; D007109:Immunity; D007136:Immunoglobulins / Q000032:analysis; D007153:Immunologic Deficiency Syndromes / Q000150:complications; D007239:Infections / Q000276:immunology*; D010038:Otorhinolaryngologic Diseases / Q000209:etiology / Q000276:immunology*; D012008:Recurrence; D012882:Skin Tests; D014068:Tonsillectomy
D007136:Immunoglobulins
Les indications d'un bilan immunitaire dans les infections O.R.L. récidivantes de l'enfant.