Clinical Importance of Family History in Recurrent Chronic Tonsillitis Pediatric Patients: Mini-Review
Fuat Bulut1*, Alev Cumbul2, Basak Ballica3
1*Department of Otorhinolaringology, Private Corlu Reyap Hospital, Rumeli University, Istanbul
2Istanbul Yeditepe University Faculty of Medicine, Istanbul
3Istanbul Bahcesehir University Faculty of Medicine, Istanbul
Introduction: In pediatric patients with a history of recurrent chronic tonsillitis in both their mother and father, they may show an excessive immune response due to genetic inheritance.
Method: Family history in immune defense mechanism predispose to tonsil disorders. Biofilm formation theory explains that the underlying factor of recurrent/ chronic tonsillitis formation is the bacterial biofilm on the surface of the tonsils.
Results: Although recurrent chronic tonsillitis is a clinical diagnosis, patient's symptoms and signs should be monitored carefully. The history of each patient and family members should be taken carefully. Since the clinical presentation of PFAPA (Periodic Fever, Aphthous Stomatitis, Pharyngitis, Adenitis) syndrome can be confused with pediatric patients with a history of recurrent chronic tonsillitis in both parents, must follow a multidisciplinary approach before starting a treatment.
Conclusions: Family history determines the severity of tonsillar damage with immune response in pediatric patients with a history of recurrent chronic tonsillitis in both their mother and father.
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