title: Chicken or the egg: the dilemma of allergic rhinitis versus adenoid hypertrophy.
abstract: 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.
  
  
  
  This study enrolled 155 children consecutively in İzmir Behcet Uz Children`s Hospital between January and September 2013.
  
  
  
  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.
  
  
  
  In this study, AH and AR were inversely related. The characteristics of the nasal secretions, itching, sneezing, were predictors of AR in children.
authors.forename: Erdem
authors.initials: E
authors.lastname: Eren
authors.forename: Seçil
authors.initials: S
authors.lastname: Arslanoğlu
authors.forename: Semiha Bahçeci
authors.initials: SB
authors.lastname: Erdem
authors.forename: Tekin
authors.initials: T
authors.lastname: Nacaroğlu
authors.forename: Canan Şule
authors.initials: CŞ
authors.lastname: Karkıner
authors.forename: Demet
authors.initials: D
authors.lastname: Can
authors.forename: Kazım
authors.initials: K
authors.lastname: Önal
mesh_terms: D000234:Adenoids / Q000473:pathology*; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008297:Male; D065631:Rhinitis, Allergic / Q000175:diagnosis*; D012882:Skin Tests