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Allergic Fungal Adenoiditis (Afa): A Novel Entity

Ağırdır B., Derin A., Oğuz A., Özbilim G., Turhan M., Erdoğan G.

Allergic sensitization of the airways occurs in the mucosa of the shock organ, or in the lymphatic stations draining these structures. The lymphatic structures closest to the nasal mucosa in humans are the adenoid tissue. Pediatric adenoidal obstruction of the nasal airway is associated with significant morbidity and is a frequent indication for surgery. Allergy and sensitivity to the different kinds of allergens is an important risk factor for a greater degree of adenoid hyperplasia in children. In the past 30 years, there has been a significant increase in the number of recorded fungal infections. When the body’s immune system is suppressed, fungi find an opportunity to invade the body and a number of side effects occur. Because these organisms don’t require light for food production, they live in a damp and dark environment. The sinuses and nasopharynx, consisting of moist dark cavities are a natural home to the invading fungi. When this occurs, fungal sinusitis or fungal adenoiditis develops. Allergic fungal adenoiditis (AFA) is to be an allergic reaction to environmental fungi that is finally dispersed into the air. Between December 2003 and March 2005, we designed a randomized prospective study on 60 patients with adenoid hyperplasia to whom adenoidectomy were performed in Akdeniz University Ear Nose Throat Head Neck Surgery Department. We found out that 50% of patients had allergic adenoiditis and 25% of patients had allergic fungal adenoiditis. These show that fungal infections may be an important etiopathogenetic factor for adenoidal hyperplasia.

Türk Otorinolarengoloji XXVIII.Ulusal Kongresi Özetleri E136

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