2019
Laryngopharyngeal Reflux Is a Potential Risk Factor for Juvenile-Onset Recurrent Respiratory Papillomatosis
FORMÁNEK, Martin, Pavel KOMÍNEK, Debora JANČATOVÁ, Lucia STANÍKOVÁ, Radoslava TOMANOVÁ et. al.Základní údaje
Originální název
Laryngopharyngeal Reflux Is a Potential Risk Factor for Juvenile-Onset Recurrent Respiratory Papillomatosis
Autoři
FORMÁNEK, Martin (203 Česká republika, garant), Pavel KOMÍNEK (203 Česká republika), Debora JANČATOVÁ (203 Česká republika), Lucia STANÍKOVÁ (203 Česká republika), Radoslava TOMANOVÁ (203 Česká republika), Jana VACULOVÁ (203 Česká republika), Milan URÍK (703 Slovensko, domácí), Ivo ŠLAPÁK (203 Česká republika, domácí) a Karol ZELENÍK (203 Česká republika)
Vydání
Biomed Research International, New York, Hindawi Publishing Corporation, 2019, 2314-6133
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30206 Otorhinolaryngology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.276
Kód RIV
RIV/00216224:14110/19:00109468
Organizační jednotka
Lékařská fakulta
UT WoS
000459656800001
Klíčová slova anglicky
laryngopharyngeal reflux; juvenile-onset recurrent respiratory papillomatosis
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 16. 4. 2019 12:51, Soňa Böhmová
Anotace
V originále
Introduction. Human papillomavirus (HPV) causes juvenile-onset recurrent respiratory papillomatosis (JORRP). Although HPV is common in children, the prevalence of JORRP is low. It is likely that other factors contribute to the pathogenesis of JORRP, during either activation or reactivation of a latent HPV infection. There is evidence that laryngopharyngeal reflux (LPR) might be such a risk factor for adult-onset recurrent respiratory papillomatosis. This study investigated if LPR might also be a risk factor for JORRP. Materials and Methods. Children with JORRP of the larynx that required microlaryngoscopy at a tertiary referral hospital were included in this prospective case-series study from November 2015 to November 2017. Using immunohistochemistry, HPV infection and pepsin associated with LPR were diagnosed from laryngeal biopsies. Results. Eleven children (aged 4-14 years) were analyzed. No patient had a history of immunodeficiency or tobacco smoke exposure. All patients underwent at least three previous surgeries due to JORRP and had been vaccinated against HPV in the past. Five children were treated using antivirotics and immunomodulators. The only known maternal risk factor was that three mothers were primiparous. All 11 samples were infected with HPV (type 6 or 11). Pathologic LPR was diagnosed in 5/11 children (45.5%). Conclusion. LPR may be a risk factor for JORRP, contributing to its development by activating or reactivating a latent HPV infection. Results are in accordance with those from our previous study in adults.