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Allergen-specific immunotherapy in allergic rhinitis and asthma. Mechanisms and proof of efficacy.
- Source :
-
Respiratory medicine [Respir Med] 2009 Jun; Vol. 103 (6), pp. 800-12. Date of Electronic Publication: 2009 Feb 12. - Publication Year :
- 2009
-
Abstract
- Appeared at the beginning of the 20th century, allergen-specific immunotherapy (SIT) has long been used in allergic rhinitis and asthma without any knowledge of its mechanisms of action or any tangible proof of its efficacy. However, from the beginning of the era of evidence-based medicine, a number of placebo-controlled studies have been published and reached a sufficient number to assess the cellular events induced by SIT and allow meta-analysis to provide guidelines based on proofs. Controlled studies and meta-analysis concerned not only subcutaneous immunotherapy but also the sublingual route, demonstrating an effect of SIT on symptoms and medication use. Most recently sublingual tablets were proposed in allergic rhinitis. This paper reviews the mechanisms of SIT, the evidence of efficacy of SIT from the injective to the sublingual route and reminds the current guidelines.
- Subjects :
- Administration, Sublingual
Adult
Asthma immunology
Asthma prevention & control
Child
Child, Preschool
Chronic Disease
Desensitization, Immunologic adverse effects
Evidence-Based Medicine
Humans
Immunoglobulin E immunology
Immunoglobulin G immunology
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Rhinitis, Allergic, Perennial immunology
Rhinitis, Allergic, Seasonal immunology
T-Lymphocyte Subsets immunology
T-Lymphocytes, Helper-Inducer immunology
Treatment Outcome
Allergens therapeutic use
Asthma therapy
Desensitization, Immunologic methods
Rhinitis, Allergic, Perennial therapy
Rhinitis, Allergic, Seasonal therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3064
- Volume :
- 103
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Respiratory medicine
- Publication Type :
- Academic Journal
- Accession number :
- 19216064
- Full Text :
- https://doi.org/10.1016/j.rmed.2009.01.008