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Single-allergen Sublingual Immunotherapy versus Multi-allergen Subcutaneous Immunotherapy for Children with Allergic Rhinitis

查看全文 作  者:[1,2]王忠喜;[3]石涵 高影响力作者 机构地区:[1]laboratory of allergology,institute of immunology;[2]department of allergy,tongji hospital,tongji medical college,huazhong university of science and technology,Wuhan 430030,China;[3]department of gerontology,central hospital of taizhou,Taizhou 380000,China高影响力机构 出  处:《Journal of Huazhong University of Science and Technology(Medical Sciences)》索引2017年第37卷第3期,共5页高影响力期刊 摘  要:It has always been controversial whether a single allergen performs better than multiple allergens in polysensitized patients during the allergen-specific immunotherapy. This study aimed to examine the clinical efficacy of single-allergen sublingual immunotherapy(SLIT) versus multi-allergen subcutaneous immunotherapy(SCIT) and to discover the change of the biomarker IL-4 after 1-year immunotherapy in polysensitized children aged 6–13 years with allergic rhinitis(AR) induced by house dust mites(HDMs). The AR polysensitized children(n=78) were randomly divided into two groups: SLIT group and SCIT group. Patients in the SLIT group sublingually received a single HDM extract and those in the SCIT group were subcutaneously given multiple-allergen extracts(HDM in combination with other clinically relevant allergen extracts). Before and 1 year after the allergen-specific immunotherapy(ASIT), the total nasal symptom scores(TNSS), total medication scores(TMS) and IL-4 levels in peripheral blood mononuclear cells(PBMCs) were compared respectively between the two groups. The results showed that the TNSS were greatly improved, and the TMS and IL-4 levels were significantly decreased after 1-year ASIT in both groups(SLIT group: P<0.001; SCIT group: P<0.001). There were no significant differences in any outcome measures between the two groups(for TNSS: P>0.05; for TMS: P>0.05; for IL-4 levels: P>0.05). It was concluded that the clinical efficacy of single-allergen SLIT is comparable with that of multi-allergen SCIT in 6–13-year-old children with HDM-induced AR. 关 键 词:IMMUNOTHERAPY IMMUNOTHERAPY VERSUS RHINITIS ALLERGIC extracts medication SUBCUTANEOUS comparable aimed
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