Association between allergic rhinitis and sino-nasal polyposis

Authors

  • Mohammad Shah Kamal ENT, Shaheed Shamsuddin Ahmed Hospital, Sylhet
  • Khabir Uddin Ahmed Dept of ENT and Head Neck Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka
  • Parvez Humayun OSD, DGHS, Deputed to BSMMU, Dhaka
  • Taufiq Atiq Dept. of ENT and HNS, BSMMU. Dhaka
  • Anwar Hossain Dept. of ENT and HNS, BSMMU. Dhaka
  • Mohammad Asaduzzaman Rasel Dept. of ENT and HNS, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/bjo.v17i2.8851

Keywords:

Allergic rhinitis, nasal polyposis.

Abstract

Objective: To investigate the role of allergy in nasal polyposis.

Methods: 60 patients of nasal polyposis were selected randomly in a multicentric prospective trial from July 2006 to July 2008. Data were collected from the patient by personal interview, clinical examination and laboratory tests in a prescribed protocol. Socio-demographic character and presentation of the samples were studied and according to the symptoms of allergy those were submitted to skin pick test with a large series of seasonal and perennial airborne allergens. Results were presented in a tabulated form.

Results: The incidence of nasal polyposis was highest among the people of 5th decade (40%) with male predominance (53.33%). The majority of the patients came from rural area (76.67%) and most of them were farmer (50%) and came from relatively poor class (73.33%). All the patients presented with significant nasal obstruction (100%). Next common presentations were running nose 90%, headache 80%, sneezing 70% and nasal itching 40%. Severity of symptoms increased with the exposure of national allergens (20%), food allergens (30%) and drugs (3.33%). 10% of patients were suffering from bronchial asthma. 20% patients with nasal polyposis were positive on Skin prick tests(SPT) with airborne allergens. A review of the clinical histories of SPT-positive patients revealed the presence of obstructive rhinitis and chronic rhinorrhea in most cases, whereas acute symptoms, such as sneezing and itching, were reported by a minority of subjects.

Conclusion: Clinically evident respiratory allergies, particularly to perennial airborne allergens, play a relevant role in the pathogenesis of nasal polyposis.

Key words: Allergic rhinitis; nasal polyposis.

DOI: http://dx.doi.org/10.3329/bjo.v17i2.8851

BJO 2011; 17(2): 117-120

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How to Cite

Kamal, M. S., Ahmed, K. U., Humayun, P., Atiq, T., Hossain, A., & Rasel, M. A. (2011). Association between allergic rhinitis and sino-nasal polyposis. Bangladesh Journal of Otorhinolaryngology, 17(2), 117–120. https://doi.org/10.3329/bjo.v17i2.8851

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Original Articles