PMID- 33463120 OWN - NLM STAT- MEDLINE DCOM- 20210930 LR - 20210930 IS - 1735-5249 (Electronic) IS - 1735-1502 (Linking) VI - 19 IP - 5 DP - 2020 Oct 18 TI - The Relation of Allergy to Adenoid Hypertrophy and Otitis Media with Effusion: A Cross-sectional Study. PG - 529-533 LID - 10.18502/ijaai.v19i5.4469 [doi] AB - The exact mechanisms of Adenoid hypertrophy (AHT) pathogenesis and otitis media with effusion (OME) are unclear but there is increasing evidence that allergies may play a role. We aimed to investigate the prevalence of atopy and the effect of anti-allergic drugs in patients with AHT and OME. In a non-randomized, prospective cross-sectional study, 122 patients younger than 18 years of age with AHT or OME were included. Atopic patients based on clinical symptoms of allergic disorders and/or elevated levels of total serum immunoglobulin E (IgE) were referred to allergists and tested for allergen sensitization by skin prick test (SPT). Atopic patients were treated with nasal corticosteroids and antihistamines. Response to treatment was evaluated by comparing symptoms score before and after the treatment. In this study 122 patients were evaluated, 116 of them had AHT and 30 patients had OME. The mean age of participants was 6.7+/-2.4 years old and 68 of them (55.7%) were male. Allergic symptoms were observed in 38 patients with AHT (32.7%) and nine patients with OME (30%). Among the total cases, 34 patients (28%) were considered atopic. SPT was performed on 25 (73%) cases of atopic patients, with 11 (44 %) positive results. The mean symptom score of AHT and OME decreased significantly after treatment respectively, (p=0.001, p=0.007). According to this study, atopy was relatively common in patients with AHT and OME. Treatment with nasal corticosteroid and antihistamines were effective in these patients. FAU - Bemanian, Mohammad Hassan AU - Bemanian MH AD - Department of Allergy and Clinical Immunology, Rasool e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. mhbemanian@yahoo.com. FAU - Rezaei, Kazem AU - Rezaei K AD - Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran. dr_rezaee373@yahoo.com. FAU - Atighechi, Saeid AU - Atighechi S AD - Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. ar.shafii@gmail.com. FAU - Shafiei, Alireza AU - Shafiei A AD - Division of Allergy and Clinical Immunology, Department of Pediatrics, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran. ar.shafii@gmail.com. LA - eng PT - Journal Article DEP - 20201018 PL - Iran TA - Iran J Allergy Asthma Immunol JT - Iranian journal of allergy, asthma, and immunology JID - 101146178 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adenoids/*immunology MH - Child MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hypersensitivity/*immunology MH - Hypersensitivity, Immediate/immunology MH - Hypertrophy/*immunology MH - Immunoglobulin E/immunology MH - Male MH - Otitis Media/*immunology MH - Otitis Media with Effusion/*immunology MH - Prevalence MH - Prospective Studies MH - Skin Tests/methods OTO - NOTNLM OT - Adenoids OT - Allergy OT - Child OT - Hypertrophy OT - Otitis media with effusion EDAT- 2021/01/20 06:00 MHDA- 2021/10/01 06:00 CRDT- 2021/01/19 07:08 PHST- 2020/02/29 00:00 [received] PHST- 2020/07/28 00:00 [accepted] PHST- 2021/01/19 07:08 [entrez] PHST- 2021/01/20 06:00 [pubmed] PHST- 2021/10/01 06:00 [medline] AID - 10.18502/ijaai.v19i5.4469 [doi] PST - epublish SO - Iran J Allergy Asthma Immunol. 2020 Oct 18;19(5):529-533. doi: 10.18502/ijaai.v19i5.4469.