Is Adenoid Hypertrophy Associated in HIV Infected Adults?

Abstract

Aim: To study adenoid hypertrophy (AH) and its association with HIV infected adult individuals. Introduction: Adenoids are the lymphoid tissue present in posterosuperior wall of nasopharynx. They are integral part of inner waldeyer’s ring. They are thought to be involved in immunity of child. There are reports and literature search shows adenoid hypertrophy in Human Immune Deficiency Syndrome (HIV) infected individuals. However, there lack a large study in such cases. The goal of present study is to observe AH and its association with HIV infected adult individuals. Material and methods: Present study was conducted in department of otorhinolaryngology of a tertiary care hospital. Patients were randomly chosen from the antiretroviral therapy register of hospital that was undergoing treatment. A total of 100 patients were included in study. A thorough otorhinolaryngology examination was carried out. All patients were then subjected for diagnostic nasal endoscopy. Adenoid status was documented and X- ray neck soft tissue lateral view was done to confirm adenoid hypertrophy. Results: The mean age of subjects were 37.6 years. Most of the patients (61%) were in age group of 31-45 years. 42% patients have insignificant (I and II degree) adenoid hypertrophy and 58% had significant (III and IV degree). Conclusion: Prevalence of adenoid hypertrophy is less among adult individuals. However, in our study we found significant AH in HIV infected adults. Moreover, there is positive association between AH and HIV. Hence, AIDS should be kept as differential diagnosis in cases of AH finding amongst adults. Aim: To study adenoid hypertrophy (AH) and its association with HIV infected adult individuals. Introduction: Adenoids are the lymphoid tissue present in posterosuperior wall of nasopharynx. They are integral part of inner waldeyer’s ring. They are thought to be involved in immunity of child. There are reports and literature search shows adenoid hypertrophy in Human Immune Deficiency Syndrome (HIV) infected individuals. However, there lack a large study in such cases. The goal of present study is to observe AH and its association with HIV infected adult individuals. Material and methods: Present study was conducted in department of otorhinolaryngology of a tertiary care hospital. Patients were randomly chosen from the antiretroviral therapy register of hospital that was undergoing treatment. A total of 100 patients were included in study. A thorough otorhinolaryngology examination was carried out. All patients were then subjected for diagnostic nasal endoscopy. Adenoid status was documented and X- ray neck soft tissue lateral view was done to confirm adenoid hypertrophy. Results: The mean age of subjects were 37.6 years. Most of the patients (61%) were in age group of 31-45 years. 42% patients have insignificant (I and II degree) adenoid hypertrophy and 58% had significant (III and IV degree). Conclusion: Prevalence of adenoid hypertrophy is less among adult individuals. However, in our study we found significant AH in HIV infected adults. Moreover, there is positive association between AH and HIV. Hence, AIDS should be kept as differential diagnosis in cases of AH finding amongst adults.