June 1990

Upper Airway Obstruction due to Tonsillar Lymphadenopathy in Human Immunodeficiency Virus Infection

Author Affiliations

From the Departments of Otolaryngology and Communicative Disorders (Drs Kraus and Levine), Infectious Diseases (Dr Rehm), Anesthesia (Dr Orlowski), Pediatrics (Dr Orlowski), and Pathology (Dr Tubbs), Cleveland (Ohio) Clinic Foundation.

Arch Otolaryngol Head Neck Surg. 1990;116(6):738-740. doi:10.1001/archotol.1990.01870060096021

• Head and neck manifestations of human immunodeficiency virus (HIV) infection are common and include diffuse cervical lymphadenopathy, cutaneous and mucosal Kaposi's sarcoma, mucosal herpes simplex infection, upper aerodi-gestivetractcandidiasis, andparotidlymphadenopathy and cysts. Recurrent otitis media and chronic sinusitis have been noted in the pediatric HIV population. We describe a patient with HIV-associated tonsillar and adenoid lymphadenopathy and upper airway obstruction. Pathologic analysis of the tonsillar tissue revealed severe lymphofollicular hyperplasia similar to that of other lymphoid tissue in HIV infection. The importance of symptomatic treatment of the airway obstruction is stressed.

(Arch Otolaryngol Head Neck Surg. 1990;116:738-740)