Pathologie ORL de l’enfant : quand penser à l’allergie ?

F. Venail, C. Blanchet, M. Mondain
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Abstract

The diagnosis of a rhinitis in children older than 7 years is usually easy. The task is more difficult in younger children with ENT inflammatory diseases since a lot of risk factors may coexist. Allergy should be suspected in cases of chronic rhinosinusitis, in cases of persistent chronic otitis media and in cases of recurrent croup or persistent vocal fold nodules. The challenge is to clearly identify the role of allergy among numerous others parameters (as GERD, smoking exposure, adenoid hypertrophy for example). Collaboration between ENT, allergists and pediatricians is helpful in order to determine the best treatment to be proposed to the child.

小儿耳鼻喉病理:什么时候考虑过敏?
7岁以上儿童鼻炎的诊断通常很容易。由于许多危险因素可能共存,因此对于患有耳鼻喉炎的年幼儿童来说,这项任务更加困难。在慢性鼻窦炎、持续性慢性中耳炎和复发性群发或持续性声带结节的病例中,应怀疑过敏。挑战在于在众多其他参数(如胃食管反流、吸烟暴露、腺样体肥大等)中清楚地确定过敏的作用。耳鼻喉科、过敏症专科医生和儿科医生之间的合作有助于确定向儿童提出的最佳治疗方案。
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