[The analysis of occurrence of atopic allergy in children with adenoid hypertrophy].
Although adenoidectomy is the most frequently performed surgical operation in small children, the causes of adenoid hypertrophy are not completely explained. Certain studies indicate that in some children it is an allergy that can constitute a risk factor for adenoid hypertrophy. The main aim of this study was the analysis of atopic allergy in children with adenoid hypertrophy.


METHODS
Two separate groups of children aged between 4 and 10 years with nasal obstruction were examined. The study group consisted of 796 children with adenoid hypertrophy. The control group consisted of 297 children without adenoid hypertrophy. In all of the children a skin prick test was performed and the frequency of occurrence of typical allergic diseases was estimated.


RESULTS
The skin prick test was positive in about 19% of children in both groups under examination (no statistical differences). In children from the study group the allergic rhinitis occurred significantly more often than in the group without hypertrophy (p = 0.0000). The hypersensitivity to dust mites was demonstrated in the study group more often as well (p = 0.0007). The results were confirmed by logistic regression. There were no differences in the frequency of atopic dermatitis and bronchial asthma between both groups compared.


CONCLUSIONS
In children with adenoid hypertrophy allergic rhinitis was the most commonly found allergic disease which seems to be the risk factor for adenoid hypertrophy in hypersensitive children.
Poradni Alergologicznej NZOZ PIAST w Grudziadzu. mmodrzynski@interia.pl
Marek
M
Modrzyński
Edward
E
Zawisza
D000234:Adenoids; D001249:Asthma; D002648:Child; D003876:Dermatitis, Atopic; D006801:Humans; D006967:Hypersensitivity; D006984:Hypertrophy