Sir.—On reading the article by Howie et al, which appeared in the June issue of the Journal (129:676, 1975), we were impressed that the only reference to allergy was that its incidence in the children studied was no greater than in the other patients. This has certainly not been the impression in the Otology Clinic at Children's Hospital in Buffalo, NY. We have found that many of the children with chronic secretory otitis have allergies. The parents, however, are often unaware that the nasal symptoms that a child manifests are due to allergy and secondarily contributing to the ear problem. We have found that properly carried out environmental control measures and dietary management definitely help a significant proportion of patients with this problem.1,2
RAPP DJ, FAHEY D. The "Otitis-Prone" Condition. Am J Dis Child. 1975;129(12):1457–1458. doi:10.1001/archpedi.1975.02120490065024
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