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Current Treatment of Allergic Rhinitis Approach

Year 2017, Volume: 9 Issue: 2, 145 - 149, 15.03.2017

Abstract

Abstract

Allergic rhinitis is a commonly encountered chronic respiratory disease in children characterized by nasal symptoms such as rhinorrhea, nasal obstruction, sneezing. Evdience based approach has started to be used in follow up of these patients in recent years due to better understanding of the disease, new diagnostic modalities and preparation of global guidelines. The aim of AR treatment is to control disease symptoms, prevent development of complications and improve quality of life. Education and increasing the awareness of patients, protection from allergens, pharmacological treatment and specific immunotherapy is undertaken for this purpose. The aim of this review is to present AR treatment and follow up, in the light of currentguidelines.

References

  • Kaynaklar 1.Gentle D, Skoner D. Allergic Rhinitis. In: Leung dy, SampsonH, Geha R, Szefler S editors. Pediatric Allergy: Principles andPractice. 2th edition. China: Mosby Elsevier Publishers; 2010.p.291-300. 2.Pawankar R. Allergic diseases and asthma: a global public he-alth concern and a call to action. The World Allergy Organi-zation journal. 2014;7(1):12. 3.Pawankar R, Bunnag C, Khaltaev N, Bousquet J. Allergic Rhi-nitis and Its Impact on Asthma in Asia Pacific and the ARIA Up-date 2008. World Allergy Organ J. 2012;5:212-7. 4.J. Bousquet, H. J. Schunemann, J. Fonseca et al. MACVIA-ARIASentinel NetworK for allergic rhinitis (MASK-rhinitis): the new ge-neration guideline implementation. Allergy. 2015;70(11):1372-92. 5.Bousquet J, Anto JM, Demoly P, et al. Severe chronic allergic (andrelated) disease:a uniform approach-a McDALL-GA2LEN-ARIAposition paper. Int Arch Allergy Immunol 2012;158:216-31. 6.Wallace DV, Dykewicz MS, Bernstein DI, et al. The diagnosisand management of rhinitis: an updated practice parameter. JAllergy Clin Immunol. 2008;122:S1-84. 7.Esch R, Bush R. Aerobiology of Outdoor Allergens. In: Adkin-son NFJR, Bochner BS, Busse WW, Holgate ST, Lemanske RF,Simons FER.,eds. Middleton’s Allergy. Principles and Prac-tise. 7th ed. Philadephia. Elsevier. 2009. p.509-35. 8.Plates T. Indoor Allergens. In: Adkinson NFJR, Bochner BS, Bus-se WW, Holgate ST, Lemanske RF, Simons FER.,eds. Middle-ton’s Allergy. Principles and Practise. 7th ed. Philadephia. Els-evier. 2009. p.539-52. 9.Bush RK. Indoor allergens, environmental avoidance, and aller-gic respiratory disease. Allergy Asthma Proc. 2008;29:575-9. 10.Pomés A, Chapman M, Wünschmann S. Indoor Allergens andAllergic Respiratory Disease. Curr Allergy Asthma Rep.2016;16:43-53. 11.Reisacher WR. Allergy treatment: environmental control stra-tegies. Otolaryngol Clin North Am. 2011;44:711-25. 12.Pawankar R, Bunnag C, Khaltaev N, Bousquet J. Allergic Rhi-nitis and Its Impact on Asthma in Asia Pacific and the ARIA Up-date 2008. Allergy 2008;63:212-217. 13.Schad CA, Skoner DP. Antihistamines in the pediatric popula-tion: achieving optimal outcomes when treating seasonal aller-gic rhinitis and chronic urticaria. Allergy Asthma Proc.2008;29:7-13. 14.Wert AF, Posa D, Tsilochristou O, Schwerk N. Treatment of al-lergic children - Where is the progress (for the practicing al-lergist)? Pediatr Allergy Immunol. 2016;27:671-81. 15.Carr WW .New therapeutic options for allergic rhinitis: backto the future with intranasal corticosteroid aerosols. Am J Rhi-nol Allergy. 2013;27:309-13. 16.Bensch G. Safety of intranasal corticosteroids. Ann Allergy Asth-ma Immunol 2016; 117-601-605. 17.Ostrom NK. The history and progression of treatments for al-lergic rhinitis. Allergy Asthma Proc. 2014;35:3-10. 18.Wei C. The efficacy and safety of H1-antihistamine versus Mon-telukast for allergic rhinitis: A systematic review and meta-analy-sis. Biomed Pharmacother. 2016;83:989-97. 19.Scadding G. Optimal management of nasal congestion causedby allergic rhinitis in children: safety and efficacy of medicaltreatments. Paediatr Drugs. 2008;10:151-62. 20.Klimek L, Mullol J, Hellings P, Gevaert P, Mösges R, FokkensW. Recent pharmacological developments in the treatment of pe-rennial and persistent allergic rhinitis. Expert Opin Pharma-cother. 2016;17:657-69. 21.Akdis C, MD, Akdis M. Mechanisms of allergen-specific immu-notherapy. J Allergy Clın Immunol 2010;127:20-7. 22.Aryan Z, Comapalati E, Canonica GW, Rezaei N. Allergen-spe-cific immunotherapy in asthmatic children: from the basis to cli-nical applications. Expert R 640 ev. Vaccines 2013;12:639-59. 23.Compalati e, Penagos M, Tarantini F, Passalacqua G, Cano-nica GW. Spesific immunotherapy for respiratory allergy:sta-te of the according to current meta-analysis. Ann Allergy Asth-ma Immunol. 2009;102:22-8

Allerjik Rinit Tedavisine Güncel Yaklaşım

Year 2017, Volume: 9 Issue: 2, 145 - 149, 15.03.2017

Abstract

Öz


Allerjik rinit (AR), çocukluk çağında sık görülen, burun akıntısı, tıkanıklık, hapşırma gibi nazal semptomlarla karakterize kronik solunum yolu hastalığıdır. Son yıllarda hastalığın daha iyi aydınlatılması, yeni tanısal yöntemler ve global rehberlerin hazırlanması ile allerjik rinitli hastaların izleminde kanıta dayalı yaklaşım uygulanmaya başlanmıştır. AR tedavisinde amaç, hastalığın semptomlarını kontrol altına almak, komplikasyon gelişimini engellemek ve yaşam kalitesini arttırmaktır. Bu amaç-la, hastaların eğitimi ve bilinçlendirilmesi, allerjenden korunma, farmakolojik tedavi ve spesifik immunoterapi uygulanmaktadır.  Bu derlemenin amacı, AR tedavisive izleminin güncel rehberler eşliğinde sunulmasıdır.

References

  • Kaynaklar 1.Gentle D, Skoner D. Allergic Rhinitis. In: Leung dy, SampsonH, Geha R, Szefler S editors. Pediatric Allergy: Principles andPractice. 2th edition. China: Mosby Elsevier Publishers; 2010.p.291-300. 2.Pawankar R. Allergic diseases and asthma: a global public he-alth concern and a call to action. The World Allergy Organi-zation journal. 2014;7(1):12. 3.Pawankar R, Bunnag C, Khaltaev N, Bousquet J. Allergic Rhi-nitis and Its Impact on Asthma in Asia Pacific and the ARIA Up-date 2008. World Allergy Organ J. 2012;5:212-7. 4.J. Bousquet, H. J. Schunemann, J. Fonseca et al. MACVIA-ARIASentinel NetworK for allergic rhinitis (MASK-rhinitis): the new ge-neration guideline implementation. Allergy. 2015;70(11):1372-92. 5.Bousquet J, Anto JM, Demoly P, et al. Severe chronic allergic (andrelated) disease:a uniform approach-a McDALL-GA2LEN-ARIAposition paper. Int Arch Allergy Immunol 2012;158:216-31. 6.Wallace DV, Dykewicz MS, Bernstein DI, et al. The diagnosisand management of rhinitis: an updated practice parameter. JAllergy Clin Immunol. 2008;122:S1-84. 7.Esch R, Bush R. Aerobiology of Outdoor Allergens. In: Adkin-son NFJR, Bochner BS, Busse WW, Holgate ST, Lemanske RF,Simons FER.,eds. Middleton’s Allergy. Principles and Prac-tise. 7th ed. Philadephia. Elsevier. 2009. p.509-35. 8.Plates T. Indoor Allergens. In: Adkinson NFJR, Bochner BS, Bus-se WW, Holgate ST, Lemanske RF, Simons FER.,eds. Middle-ton’s Allergy. Principles and Practise. 7th ed. Philadephia. Els-evier. 2009. p.539-52. 9.Bush RK. Indoor allergens, environmental avoidance, and aller-gic respiratory disease. Allergy Asthma Proc. 2008;29:575-9. 10.Pomés A, Chapman M, Wünschmann S. Indoor Allergens andAllergic Respiratory Disease. Curr Allergy Asthma Rep.2016;16:43-53. 11.Reisacher WR. Allergy treatment: environmental control stra-tegies. Otolaryngol Clin North Am. 2011;44:711-25. 12.Pawankar R, Bunnag C, Khaltaev N, Bousquet J. Allergic Rhi-nitis and Its Impact on Asthma in Asia Pacific and the ARIA Up-date 2008. Allergy 2008;63:212-217. 13.Schad CA, Skoner DP. Antihistamines in the pediatric popula-tion: achieving optimal outcomes when treating seasonal aller-gic rhinitis and chronic urticaria. Allergy Asthma Proc.2008;29:7-13. 14.Wert AF, Posa D, Tsilochristou O, Schwerk N. Treatment of al-lergic children - Where is the progress (for the practicing al-lergist)? Pediatr Allergy Immunol. 2016;27:671-81. 15.Carr WW .New therapeutic options for allergic rhinitis: backto the future with intranasal corticosteroid aerosols. Am J Rhi-nol Allergy. 2013;27:309-13. 16.Bensch G. Safety of intranasal corticosteroids. Ann Allergy Asth-ma Immunol 2016; 117-601-605. 17.Ostrom NK. The history and progression of treatments for al-lergic rhinitis. Allergy Asthma Proc. 2014;35:3-10. 18.Wei C. The efficacy and safety of H1-antihistamine versus Mon-telukast for allergic rhinitis: A systematic review and meta-analy-sis. Biomed Pharmacother. 2016;83:989-97. 19.Scadding G. Optimal management of nasal congestion causedby allergic rhinitis in children: safety and efficacy of medicaltreatments. Paediatr Drugs. 2008;10:151-62. 20.Klimek L, Mullol J, Hellings P, Gevaert P, Mösges R, FokkensW. Recent pharmacological developments in the treatment of pe-rennial and persistent allergic rhinitis. Expert Opin Pharma-cother. 2016;17:657-69. 21.Akdis C, MD, Akdis M. Mechanisms of allergen-specific immu-notherapy. J Allergy Clın Immunol 2010;127:20-7. 22.Aryan Z, Comapalati E, Canonica GW, Rezaei N. Allergen-spe-cific immunotherapy in asthmatic children: from the basis to cli-nical applications. Expert R 640 ev. Vaccines 2013;12:639-59. 23.Compalati e, Penagos M, Tarantini F, Passalacqua G, Cano-nica GW. Spesific immunotherapy for respiratory allergy:sta-te of the according to current meta-analysis. Ann Allergy Asth-ma Immunol. 2009;102:22-8
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Details

Primary Language Turkish
Journal Section makale
Authors

Doç. Dr. Özge Yılmaz

Publication Date March 15, 2017
Published in Issue Year 2017 Volume: 9 Issue: 2

Cite

APA Yılmaz, D. D. Ö. (2017). Allerjik Rinit Tedavisine Güncel Yaklaşım. Klinik Tıp Pediatri Dergisi, 9(2), 145-149.
AMA Yılmaz DDÖ. Allerjik Rinit Tedavisine Güncel Yaklaşım. Pediatri. March 2017;9(2):145-149.
Chicago Yılmaz, Doç. Dr. Özge. “Allerjik Rinit Tedavisine Güncel Yaklaşım”. Klinik Tıp Pediatri Dergisi 9, no. 2 (March 2017): 145-49.
EndNote Yılmaz DDÖ (March 1, 2017) Allerjik Rinit Tedavisine Güncel Yaklaşım. Klinik Tıp Pediatri Dergisi 9 2 145–149.
IEEE D. D. Ö. Yılmaz, “Allerjik Rinit Tedavisine Güncel Yaklaşım”, Pediatri, vol. 9, no. 2, pp. 145–149, 2017.
ISNAD Yılmaz, Doç. Dr. Özge. “Allerjik Rinit Tedavisine Güncel Yaklaşım”. Klinik Tıp Pediatri Dergisi 9/2 (March 2017), 145-149.
JAMA Yılmaz DDÖ. Allerjik Rinit Tedavisine Güncel Yaklaşım. Pediatri. 2017;9:145–149.
MLA Yılmaz, Doç. Dr. Özge. “Allerjik Rinit Tedavisine Güncel Yaklaşım”. Klinik Tıp Pediatri Dergisi, vol. 9, no. 2, 2017, pp. 145-9.
Vancouver Yılmaz DDÖ. Allerjik Rinit Tedavisine Güncel Yaklaşım. Pediatri. 2017;9(2):145-9.