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Long-term efficacy of standardised specific subcutaneous immunotherapy in children with persistent allergic rhinitis due to multiple allergens including house dust mites

Published online by Cambridge University Press:  28 January 2018

Y Song ,
J Long ,
T Wang ,
J Xie ,
M Wang  and
G Tan
Y Song
Affiliation:
Department of Otolaryngology – Head Neck Surgery, Third Xiangya Hospital of Central South University, Changsha, Hunan, China
J Long
Affiliation:
Department of Otolaryngology – Head Neck Surgery, Third Xiangya Hospital of Central South University, Changsha, Hunan, China
T Wang
Affiliation:
Department of Otolaryngology – Head Neck Surgery, Third Xiangya Hospital of Central South University, Changsha, Hunan, China
J Xie
Affiliation:
Department of Otolaryngology – Head Neck Surgery, Hunan Children's Hospital, Changsha, China
M Wang
Affiliation:
Department of Otolaryngology – Head Neck Surgery, Hunan Children's Hospital, Changsha, China
G Tan*
Affiliation:
Department of Otolaryngology – Head Neck Surgery, Third Xiangya Hospital of Central South University, Changsha, Hunan, China
*
Address for correspondence: Professor Guolin Tan, Department of Otolaryngology – Head Neck Surgery, Third Xiangya Hospital, Central South University, Changsha 410013, Hunan, China Fax: +86 731 886 18536 E-mail: guolintanent@163.com
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Abstract

Objectives:

To observe the five-year efficacy of standardised specific subcutaneous immunotherapy for house dust mite allergy in monosensitised and polysensitised children with persistent allergic rhinitis.

Methods:

From January 2007 to August 2009, 236 children with persistent allergic rhinitis were divided into 2 groups: 1 group received standardised specific subcutaneous immunotherapy using house dust mite extract; the other received pharmacotherapy with intranasal corticosteroids and oral antihistamines. A total of 193 patients (106 in the immunotherapy group and 87 in the pharmacotherapy group) completed treatment. Scores for symptoms, total medication and quality of life were evaluated.

Results:

The subcutaneous immunotherapy group demonstrated a significant reduction in visual analogue scale scores, Rhinoconjunctivitis Quality of Life Questionnaire scores and total medication scores (p < 0.05) compared with the pharmacotherapy group. No significant differences in the visual analogue scale and Rhinoconjunctivitis Quality of Life Questionnaire scores were found between the polysensitised and monosensitised subgroups (p > 0.05). No serious adverse events occurred.

Conclusion:

Standardised subcutaneous immunotherapy has long-term efficacy for children with persistent allergic rhinitis. Single-allergen subcutaneous immunotherapy was appropriate for allergic rhinitis caused by multiple allergens, including house dust mites, in the paediatric population.

Keywords

ImmunotherapyHouse Dust MitesChildrenAllergic Rhinitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 3 , March 2018 , pp. 230 - 235
Copyright
Copyright © JLO (1984) Limited 2018 

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