Minerva Pediatrics 2021 Sep 16

DOI: 10.23736/S2724-5276.21.06496-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Platelet counts and adenoid hypertrophy: a neglected relationship

André S. MACHADO ^{1, 2} ✉, Ana SILVA ¹, Miguel COUTINHO ¹, Cecília A. SOUSA ¹

¹ Centro Hospitalar Universitário do Porto, Porto, Portugal; ² Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal

BACKGROUND: The increase in resistance of the respiratory nasal caused by adenoid hypertrophy can condition changes in pulmonary ventilation and translate into a risk of cardiopulmonary diseases. The mean platelet volume is a marker of platelet function, associated with indicators of platelet activity - a greater volume indicates the presence of larger platelets and greater hemostatic reactivity, associated with a propensity for thrombosis.
METHODS: Retrospective study of 200 patients who presented to the otolaryngology outpatient clinic of our hospital, divided in two group-s : chAil dren with adenoid hypertrophy, B - children without adenoid hypertrophy. The age, hemoglobin levels, platelet counts were compared between the two groups.
RESULTS: The Mean Platelet Volume levels in patients with Adenoid Hypertrophy were significantly higher than those in the control group (p<0.001). White blood cells, hemoglobin, and platelet levels were not significantly different between the 2 groups (P > 0.05).
CONCLUSIONS: Adenoid hypertrophy is associated with higher mean platelet volume in children. Measurement of mean platelet volume and platelet count can be considered as quick, safe, and reliable guide for the assessment of clinical consequences of adenoid hypertrophy.

KEY WORDS: Adenoid; Nasal; Platelet; Children; Pediatric