Sahoo G C
Annamalai Nagar, 608 002, Chidambaram, Tamilnadu.
Indian J Otolaryngol Head Neck Surg. 1999 Jul;51(3):50-4. doi: 10.1007/BF02996530.
Laryngeal manifestation of allergy though less common than, Rhinosinusitis, tubotympanitis and bronchopulmanary allergy but it is not that uncommon which is usually misdiagnosed and mistreated in children. Hence the importance of larynx as the allergic shock organ in children with spasmodic croup and laryngotracheo bronchits. In the present study in children bellow five years, presenting with stridor and/or hoarsness were evaluated regarding the history of allergy, direct laryngoscopic finding, mesurement of serum 1 g E. Presence of eosinophilia and histopathological examination of laryngeal biopsy. Out of the 80 cases studied 9 cases (11.2%) presented with associated allergic manifestation, 8 cases (10%) having family history of allergy, 4 cases (5%) having raised serum 1 g E, 12 cases (15%) with eosinophilia 3 cases (3.75%) with eosinophilic infiltration on histopathological examination of the biopsy material taken during the direct laryngoscopy.
虽然喉部过敏表现比鼻窦炎、咽鼓管鼓室炎和支气管肺部过敏少见，但并非不常见，在儿童中常被误诊和误治。因此，在患有痉挛性喉炎和喉气管支气管炎的儿童中，喉部作为过敏性休克器官具有重要意义。在本研究中，对5岁以下出现喘鸣和/或声音嘶哑的儿童，就过敏史、直接喉镜检查结果、血清IgE测量、嗜酸性粒细胞增多情况以及喉部活检的组织病理学检查进行了评估。在研究的80例病例中，9例（11.2%）出现相关过敏表现，8例（10%）有家族过敏史，4例（5%）血清IgE升高，12例（15%）有嗜酸性粒细胞增多，3例（3.75%）在直接喉镜检查时获取的活检材料的组织病理学检查中有嗜酸性粒细胞浸润。
