ORIGINAL ARTICLE

lhami N. Relationship Between Allergic Rhinitis

RELATIONSHIP BETWEEN ALLERGIC RHINITIS AND ADENOIDS IN CHILDREN

Nur Ilhami, F.G.Kuhuwael, Eryadi Djamzuli, Sutji Pratiwi Rahardjo
Ear Nose Throat Departement, Medical Faculty, Hasanuddin University, Makassar

ABSTRACT
Objective : to evaluate the relationship between allergic rhinitis and adenoid enlargement that may cause increased morbidity in children. Methods: Fifty children were assigned to either case or control groups. The case group consisted of 25 children with allergic rhinitis which was diagnosed using the highly positive relationship between the skin prick test (+3 and +4) and positive eosinophil in nasal cytology. The control group consisted of 25 children without any symptoms of allergic rhinitis or the result of the skin prick tests were low (+1 and +2) if positive. The adenoid naso-pharynx ratio was assessed by true lateral radiologic examination. Results : The common inhalant allergens were dust mites (40%), cockroaches (40%) and human dander (36%). Fifty six percent of the children showed adenoid obstruction of 50-70% airway (degree I) and 36% of the children showed adenoid obstruction of more than 70% airway (degree II). When the degree of allergic rhinitis and adenoid enlargement were related using the Pearson chi square test, a significant association (p<0.001) was found. Conclusion: The study showed that allergic rhinitis is a risk factor for adenoid enlargement in children in Makassar Keywords : allergic rhinitis, adenoid enlargement, children

HUBUNGAN ANTARA RINITIS ALERGI DAN PEMBESARAN ADENOID PADA ANAK

Tujuan: untuk melihat hubungan antara rinitis alergi dan pembesaran adenoid. Metode: Pasien rhinitis dibagi kedalam dua kelompok yang berbeda. Kelompok kasus terdiri atas 25 anak dengan rinitis alergi yang didiagnosis berdasarkan tes cukit kulit positif kuat (+3, +4) dan eosinofil positif pada sitologi hidung. Kelompok kontrol terdiri atas 25 anak tanpa keluhan atau tes cukit kulit positif lemah (+1,+2). Pada kedua kelompok diukur rasio adenoid-nasofaring melalui foto polos true lateral. Hasil: Jenis alergen inhalan yang banyak ditemukan adalah tungau debu rumah (40%), kecoa (40%), kulit manusia (36%). Sebanyak 56% anak dengan penyumbatan adenoid 50-70% saluran napas (derajat I) dan 36% anak dengan penyumbatan adenoid > 70% saluran napas (derajat II). Dari analisa statistik menggunakan tes Pearson Chi Square ditemukan bahwa rinitis alergi mempunyai hubungan dengan derajat pembesaran adenoid (p<0,000). Simpulan: penelitian ini menunjukkan bahwa rinitis alergi merupakan faktor risiko terhadap pembesaran adenoid pada anak Kata kunci : rinitis alergi, pembesaran adenoid, anak

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The Indonesian Journal of Medical Science Volume 1 No. 1 July-September 2008