Journal Identity

Title Correlation between Allergic Rhinitis and

●

LaryngopharyngealReflux

Authors Sami Alharethy , Abdulsalam Baqays, Tamer A. Mesallam ,Falah Syouri,

●

Mawaheb Al Wedami, Turki Aldrees, and Alhanouf AlQabbani

Published ●
22 March 2018

Publisher ●
BioMed Research International
 126 Patients A mean age :
39,4 ± 21,2
70 Females 56 males years

RESULT
Groups LPR positive LPR negative p
(𝑛 = 63) (𝑛 = 63)

AR 54(85%) 30(48%) 0,002

positive
𝑛(%)
AR negative 9 (15%) 33 (52%)
 Comparison between the
positive and negative LPR
groups regarding SFAR score
results.

RESULT
Correlation
between
the SFAR
score

RESULT
(item and
total
scores) and
Ryan
score
 • There was
significantly higher
frequency of positive
LPR (+) > LPR (-) AR diagnosis
in SFAR scores (𝑝<0.0001). reported in the
positive LPR group

RESULT
compared to the
negative LPR group

• There was a significant

The Ryan score ↔ positive correlation
between the pH Ryan
SFAR total score score and the total
SFAR score
DISCUSSION
 Microscopic structure Larynx is an crucial structure
intercorelating

Exacerbation in one part can effected another part respiratory system

RA have similar affected on

86% asthmatic population have
laryngeal mucosa (Keller,1920
nasal symptom (Keller,1920)
and holland et al, 1999)

- Edema
To explore associations - Excessive mucous secretion
betweeen AR/AL and LPR - congestion
 Methods More
objective Biopsi for detected DIS in
spesific and
oropharingeal mucosa
sensitive
Amin et al,
- More invasive
2009 - Time comsuming
- expensive

- Clinical history
Methods
- Pharyngolaryngoscopy
subjektif
- Endoscopy of upper gastrointestinal tract
CONCLUSSION
 THANK YOU
THANK YOU
 DIAGNOSTIC FOR LPR
(Instrumental methods)
Diagnostic for LPR

DIS (dilatation Intercellular Space)

A24-hour Oropharyngeal
inoropharingealmucosa (Amin et al,
PHMonitoring System(Ayazi,2009)
2009)
4. What trigger factors provoke or increase your nose problem?
House dust □
House dust mites □
Pollens □
Animal (cat, dogs…) □
Others (please specify) ___________________________________________________
 5. Do you think to be allergic?
No □ Yes □
6. Have you already been tested for allergy (SPT, IgE)?
No □ Yes □
If YES:
6a. What was the result?
Positive □ Negative □
7. Has a doctor already diagnosed that you suffer/suffered from asthma, eczema or allergic rhinitis?
No □ Yes □
8. Is any member of your family suffering from asthma, eczema or allergic rhinitis?
No □ Yes □
YES: Who and what disease? (please tick appropriate cases(s)):
Father Asthma □ Eczema □ Allergic rhinitis □
Mother Asthma □ Eczema □ Allergic rhinitis □
Siblings Asthma □ Eczema □ Allergic rhinitis □
Ryan Score for LPR
pH normal: 7,2
LPR: supine= 5
upright= 5,2
RSI
REFLUX FINDING SCORE
RSI