In allergic pharyngitis, granularity in posterior pharynx is due to: (A) Hyperplasia of mucous membrane, (B) Hyperplasia of sebaceous glands, (C) Hyperplasia of submucosal lymphoid tissue, (D) Inspissated mucous
Answer is C. Pharyngeal signs include granular pharyngitis due to hyperplasia of submucosal lymphoid tissue. A child with perennial allergic rhinitis may show all the features of prolonged mouth breathing as seen in adenoid hyperplasia. Ref: Dhingra 7e pg 188.