NDLI: Eosinophilic Laryngitis in Children with Aerodigestive Dysfunction.

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Eosinophilic Laryngitis in Children with Aerodigestive Dysfunction.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Yawn, Robert J. Acra, Sari Goudy, Steven L. Flores, Raina Wootten, Christopher T.
Description	Country affiliation: United States Author Affiliation: Yawn RJ ( Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee, USA.); Acra S ( Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Vanderbilt Children's Hospital, Nashville, Tennessee, USA.); Goudy SL ( Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee, USA.); Flores R ( Department of Pathology, Microbiology, and Immunology, Vanderbilt University, Nashville, Tennessee, USA.); Wootten CT ( Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee, USA christopher.t.wootten@vanderbilt.edu.)
Abstract	OBJECTIVE: To describe the presence of laryngeal eosinophils and associated symptomatology in patients with aerodigestive dysfunction. STUDY DESIGN: Case series with chart review. SETTING: Single tertiary pediatric referral center. SUBJECTS: Eighty-one consecutive pediatric patients referred to a multidisciplinary aerodigestive clinic with upper airway concerns. METHODS: Microlaryngoscopy and posterior arytenoid biopsy, flexible bronchoscopy, esophagogastroduodenoscopy and esophageal biopsy, and impedance probe testing were performed as indicated by clinical symptoms. Positive versus negative posterior arytenoid biopsy for eosinophils and the presence or absence of concomitant histopathological laryngitis and/or esophagitis were measured. RESULTS: Nine of 81 (11%) patients had positive laryngeal biopsy for eosinophils (range, 1-29 eosinophils/high-powered field [HPF]). Three of these 9 patients also had concurrent biopsy-proven eosinophilic esophagitis, while 8 of 81 total patients had biopsy-proven eosinophilic esophagitis. The frequency of biopsy-proven eosinophilic esophagitis was higher in patients with posterior arytenoid eosinophils versus patients without laryngeal eosinophils (33% versus 6.9%, P = .0408). CONCLUSIONS: Eosinophilic inflammation in the larynx has not been described in children with complex aerodigestive complaints. Posterior arytenoid eosinophils may serve as a marker of chronic laryngeal inflammation in children with aerodigestive dysfunction, although their exact role in this inflammation remains unclear. In our population, >15 eosinophils/HPF within posterior arytenoid biopsies was associated with concomitant eosinophilic esophagitis.
File Format	HTM / HTML
ISSN	01945998
Issue Number	1
Volume Number	153
e-ISSN	10976817
Journal	Otolaryngology -- Head and Neck Surgery
Language	English
Publisher	SAGE Publications
Publisher Date	2015-07-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Complications Humans Risk Factors Discipline Otolaryngology Digestive System Diseases Child, Preschool Infant Male Respiration Disorders Eosinophilia Epidemiology Journal Article Laryngitis Pathology Adolescent Female Retrospective Studies Child Chronic Disease Eosinophilic Esophagitis
Content Type	Text
Resource Type	Article
Subject	Otorhinolaryngology Surgery

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