Acute And Chronic Pharyngitis


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  • Acute rhinitis and acute tonsilitis may become involved secondarily.
  • Virus: Coxsackie virus, rhinovirus, adenovirus, influenza virus , parainfluenza virus so on. Bacteria: streptococci,staphylococci and pneumococci mostly seen. Invironmental factors:high temperature,dust,frog,stimulated gas, etc
  • * Exduation from blood vessels and infiltration of inflammatory cells.
  • Pharyngeal culture and antibody test.
  • *Usually a part of the upper respiroty chronic inflammation, commonly seen in adults. Long course of diseases.
  • Soothing gargle may help relieve the symptoms.
  • Acute And Chronic Pharyngitis

    1. 1. <ul><ul><ul><ul><ul><li>Acute Pharyngitis </li></ul></ul></ul></ul></ul>
    2. 2. Acute Pharyngitis <ul><li>Definition*: </li></ul><ul><li>acute inflammation of pharyngeal mucosa and submucosa, mostly invovled in pharyngeal lymphoid tissue. </li></ul>
    3. 3. Etiology <ul><li>1. Virus* </li></ul><ul><li>2. Bacteria* </li></ul><ul><li>3. Invironmental Factors* </li></ul>
    4. 4. Pathology Acute inflammation of the pharyngeal mucosal tissue: Blood vessels dilatation Inflammatory cells infiltration mucosal swelling*
    5. 5. Clinical Appearances <ul><li>◆ Symptoms </li></ul><ul><li>1. fever, headache </li></ul><ul><li>2 . pharyngeal driness and painess, pain when swallowing </li></ul><ul><li>◆ Examination </li></ul><ul><li>pharyngeal mucosal congestion, swelling, edema of uvula </li></ul><ul><li>and soft palate, enlargement of the lympoid nodules on the </li></ul><ul><li>posterior wall of the pharynx , and the glands on each side </li></ul><ul><li>of the neck are usually swollen and tender </li></ul>
    6. 6. Diagnosis and Differential Diagnosis ◆ Diagnosis: history, symptoms, signs (examinations). ◆ Differential Diagnosis: acute infectious diseases (measles, scarlet fever,etc.)
    7. 7. Complications <ul><li>◆ involved in adjacent organs: otitis media, sinusitis , and acute respiratory inflammation. </li></ul><ul><li>◆ others: acute nephritis, rheumatic fever, and septicemia, etc. </li></ul>
    8. 8. Treatment <ul><li>◆ Non general symptoms or light symptoms: local treatment, such as gargle, lozenge, etc. </li></ul><ul><li>◆ severe general symptoms: rest in bed, more drink, antivirus, antibiotics </li></ul><ul><li>◆ Chinese Medicine </li></ul>
    9. 9. <ul><li>Chronic Pharyngitis </li></ul>
    10. 10. Chronic Pharyngitis <ul><li>Definition*: </li></ul><ul><li>diffuse inflammation of pharyngeal mucosa and submucosa, and pharyngeal lymphoid tissue. </li></ul>
    11. 11. Etiology <ul><li>1. Local Factors : </li></ul><ul><li>◆ repeat relapse of acute pharyngitis </li></ul><ul><li>◆ affected by adjacent organs : nose, tonsils. </li></ul><ul><li>◆ bad irritants </li></ul><ul><li>2. General Factors : </li></ul><ul><li>◆ General chronic diseases: anemia, dyspepsia, lower respiratory chronic diseases, cardiovascular diseases, etc. </li></ul><ul><li>◆ allergic factors </li></ul>
    12. 12. Pathology <ul><li>● Chronic simple pharyngitis: chronic mucosal congestion, gland hypertrophy, hypersecretion. </li></ul><ul><li>● Chronic hypertrophic pharyngitis: mucosal congestion, pharyngeal lympoid tissue hypertrophy. </li></ul><ul><li>● Atrophic pharyngitis and pharyngitis sicca: seldom seen, etiology is unknown, hyposecretion, mucosa is thin . </li></ul>
    13. 13. Clinical Appearances <ul><li>◆ Symptoms </li></ul><ul><li>the description given of the symptoms varies greatly with individuals, no general symptoms, simple sore throat, a pricking or irritation as of a foreign body, or an accumulation of mucus causing a constant necessity to swallow. </li></ul>
    14. 14. Clinical Appearances <ul><li>◆ Examination </li></ul><ul><li>Chronic simple pharyngitis: mucosal congestion, vessels dilitation, scatted lympoid follicles in pharyngeal posterior wall. </li></ul><ul><li>Chronic hypertrophic pharyngitis: mucosa menbrane is thickened and reddened, a degree of edema of uvula may be found, increase in size of lympoid islands in the mucosa of pharyngeal posterior wall. </li></ul><ul><li>Atrophic pharyngitis and pharyngitis sicca: mucosa menbrane is thin and pale colour, mucosa is driness, often attached thick secretion. </li></ul>
    15. 15. history, symptoms, signs (examinations). Diagnosis
    16. 16. Treatment <ul><li>1. Etiologic therapy: eliminate anything which tends to prolong the inflammation, altering the patient’s habits ( food,tobacco, alcohol,etc.) , excises. </li></ul><ul><li>2. Local therapy: soothing gargle ,Chinese Medicines. </li></ul><ul><li>3. Target therapy: </li></ul><ul><li>hypertropic type of diseases---cautery or diathermy or laser </li></ul>
    17. 17. Treatment Efficiency <ul><li>The therapy is intractable and unsatisfactory because of a high tendency to recurrence and relapse. </li></ul>