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Inicio Acta Otorrinolaringológica Española Infiltración mastocitaria amigdalar y amigdalitis alérgica
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Vol. 54. Issue 4.
Pages 299-302 (April 2003)
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Vol. 54. Issue 4.
Pages 299-302 (April 2003)
Infiltración mastocitaria amigdalar y amigdalitis alérgica
Tonsillar Mast Cell Infiltration And Allergic Tonsillitis
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5075
F.J. garcía callejo1, M.H. orts alborch, J. marco algarra
Servicio De Orl
P. roselló*
* Departamento de pediatría. hospital clínico universitario de valencia
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Resumen

Presentamos el caso de un niño de siete años de edad en el que se detectó un episodio de amigdalitis aguda exudativa tras la ingestión de fresas sin antecedentes infecciosos. Una vez diagnosticado el cuadro como hipersensibilidad tipo I, el paciente comenzó a presentar episodios repetitivos exudativos y pultáceos en relación con la ingesta de bebidas frías y la manipulación directa de las amígdalas. Estas eran hiperplásicas y en ellas se aisló Staphylococcus sp. y Streptococcus sp. Estos cuadros eran rápidamente yugulados mediante corticosteroides. La amigdalectomía fue el tratamiento definitivo. La biopsia de la pieza informó de infiltración por mastocitos en los centros germinales de ambas amígdalas palatinas.

Palabras clave:
Amigdalitis alérgica
Hipersensibilidad
Mastocito
Abstract

We report the case of a seven year-old boy bearing of exudative acute tonsillitis after strawberry ingestion with no previous infectious history. After having diagnosed it as hypersensitivity type I, this patient began to suffer repetitive episodes of exudative and purulent tonsillitis, related to cool drinks and direct manipulation of tonsils. These were hyperplastic and Staphy-lococcus sp. and Streptococcus sp. were isolated in them. The episodes were shortened by the use of corticosteroids. Tonsillectomy was the definitive therapy. Biopsy informed of mast cells infiltration in germinal centers of both palatine tonsils.

Key words:
Allergic tonsils
Hypersensitivity
Mast cell

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