Study of Adenoid Hypertrophy in HIV InfectedIndividuals at a Tertiary Care Hospital

Aim: To study the status of adenoids in HIV infected individuals. Introduction: Adenoid is the condensation of lymphoid tissue at the posterosuperior wall of nasopharynx. Adenoids are part of waldeyer’s ring. It is considered to have a crucial role in immunological memory of child. There are reported and documented evidences of adenoid hypertrophy in Human Immune Deficiency Syndrome (HIV) infected individuals but there lack a large study of such cases. The idea of present study is to observe the status of adenoids in HIV infected individuals. Materials & methods: The study was conducted in department of otolaryngology of a tertiary care hospital. Patients were selected randomly from the register of ART centre of hospital that was undergoing treatment. 100 patients were selected who gave consent to include in study. A thorough otolaryngology examination was carried out which also included anterior rhinoscopy. All patients were then subjected to diagnostic nasal endoscopy. Adenoid status was recorded and Xray neck soft tissue lateral view was done to confirm adenoid hypertrophy. Results: The mean age of patients was 37.6 years. Most of the patients (61%) were in age group of 31-45 years. Most of the patients (47%) have third degree of adenoid hypertrophy. 42% patients have insignificant (I and II degree) adenoid hypertrophy and 58% had significant (III and IV degree). Conclusion: Adenoid hypertrophy is uncommon among adult individuals. It is significantly present in HIV infected adult individuals and should be ruled out as cause of nasal complaints.