Document Details
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Document Type |
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Thesis |
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Document Title |
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Recurrent acute tonsillitis and allergy in children دراسة العلاقة بين التهاب اللوزتين المتكرر والحساسية في الأطفال |
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Subject |
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Faculty of Medicine |
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Document Language |
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Arabic |
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Abstract |
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Background: Recurrent acute tonsillitis is very common amongst the pediatric age group. Making it one of the commonest conditions encountered by otolaryngologists. Most of these patients have also adenoid hypertrophy. There have been reports of an association between allergy and adenoid hypertrophy in children.
Aim: This study was conducted to investigate the association between recurrent tonsillitis and allergy and to determine the levels of specific allergens and allergy tests in children.
Methods: A cross-sectional study conducted among pediatric patients age less than 16 years old who were diagnosed with acute recurrent tonsillitis, and who had the indication for a tonsillectomy procedure. Patients’ past medical history of allergies (food and drug), and presence of medical conditions (bronchial asthma, allergic rhinitis, sinusitis, conjunctivitis, atopic dermatitis, urticarial and angioedema) were collected from their parents. Clinical signs and symptoms of nasopharyngeal and respiratory obstruction were also noted. Blood levels of total IgE level, D2 level, eosinophil count, neutrophil count, MX1 (molds and yeasts mix IgE) test, Phadiatop test, grass pollen test, D1 allergen test, and food complex “egg white – milk” test were performed.
Results: Twenty-five children with mean age of 5.96 ± 2.94 years old were included in the study. Fifteen patients (60.0%) had clinical symptoms of fever >38oC, 14 (56.0%) had dysphagia, 14 (56.0%) had odynophagia, and 14 (56.0%) with snoring. There were 8 patients (32.0%) who had elevated serum total IgE, 5 patients (20.0%) with elevated eosinophil percentage. There were seven patients (28.0%) with elevated prostaglandin D2 level, 1 patient (4.0%) with positive MX1 test, 4 (16.0%) with positive Phadiatop IgE test, 2 (8.0%) with positive grass pollen test, 3 (12.0%) with positive D1 test and 8 (32.0%) with positive food complex “egg-white – milk” test. Children who had a history of allergy were significantly older than children who did not have a history of allergy.
Conclusion: Our study suggests that there might be a relation between recurrent tonsillitis and allergy. But more studies are needed to investigate the direct association between recurrent tonsillitis and allergy. |
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Supervisor |
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Prof. Saad Al Muhayawi |
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Thesis Type |
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Master Thesis |
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Publishing Year |
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1440 AH
2019 AD |
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Added Date |
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Wednesday, August 21, 2019 |
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Researchers
| مريم أحمد الشيخه | Al Sheikah, Mariam Ahmed | Researcher | Master | |
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