Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances

Young Hyo Kim; Sang Min Lee; Mi Ae Kim; Hyeon Jong Yang; Jeong Hee Choi; Dong Kyu Kim; Young Yoo; Bong Seong Kim; Won Young Kim; Jeong Hee Kim; So Yeon Park; Keejae Song; Min Suk Yang; Young Mok Lee; Hyun Jong Lee; Jae Hong Cho; Hye Mi Jee; Yang Park; Woo Yong Bae; Young Il Koh

doi:10.5124/jkma.2017.60.3.257

Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances

Young Hyo Kim, Sang Min Lee, Mi Ae Kim, Hyeon Jong Yang, Jeong Hee Choi, Dong Kyu Kim, Young Yoo, Bong Seong Kim, Won Young Kim, Jeong Hee Kim, So Yeon Park, Keejae Song, Min Suk Yang, Young Mok Lee, Hyun Jong Lee, Jae Hong Cho, Hye Mi Jee, Yang Park, Woo Yong Bae, Young Il Koh

Research output: Contribution to journal › Article › peer-review

Abstract

In order to prevent sensitization to a new allergen and the development of asthma, practitioners may consider allergen-specific immunotherapy in patients with allergic rhinitis. Additionally, in patients with severe allergic rhinitis refractory to medication, practitioners can also consider surgical management for improving the patients' nasal symptoms. However, there are still no practical guidelines regarding the indications for immunotherapy, the appropriate selection of the allergen, and the optimal duration of therapy. Moreover, no clear indications exist for surgical treatment. Pregnant or lactating women frequently complain of symptoms of rhinitis. However, due to the fear of potential complications to their babies, they avoid medical treatment despite significant discomfort. Therefore, we present 14 answers to core questions about immunotherapy, surgical treatment, and considerations for special circumstances, such as pregnancy and lactation.

Original language	English
Pages (from-to)	257-269
Number of pages	13
Journal	Journal of the Korean Medical Association
Volume	60
Issue number	3
DOIs	https://doi.org/10.5124/jkma.2017.60.3.257
Publication status	Published - 2017 Mar

Keywords

Guideline
Immunotherapy
Rhinitis, allergic
Surgery

ASJC Scopus subject areas

Medicine(all)

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10.5124/jkma.2017.60.3.257

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Kim, Y. H., Lee, S. M., Kim, M. A., Yang, H. J., Choi, J. H., Kim, D. K., Yoo, Y., Kim, B. S., Kim, W. Y., Kim, J. H., Park, S. Y., Song, K., Yang, M. S., Lee, Y. M., Lee, H. J., Cho, J. H., Jee, H. M., Park, Y., Bae, W. Y., & Koh, Y. I. (2017). Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances. Journal of the Korean Medical Association, 60(3), 257-269. https://doi.org/10.5124/jkma.2017.60.3.257

Kim, YH, Lee, SM, Kim, MA, Yang, HJ, Choi, JH, Kim, DK, Yoo, Y, Kim, BS, Kim, WY, Kim, JH, Park, SY, Song, K, Yang, MS, Lee, YM, Lee, HJ, Cho, JH, Jee, HM, Park, Y, Bae, WY & Koh, YI 2017, 'Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances', Journal of the Korean Medical Association, vol. 60, no. 3, pp. 257-269. https://doi.org/10.5124/jkma.2017.60.3.257

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abstract = "In order to prevent sensitization to a new allergen and the development of asthma, practitioners may consider allergen-specific immunotherapy in patients with allergic rhinitis. Additionally, in patients with severe allergic rhinitis refractory to medication, practitioners can also consider surgical management for improving the patients' nasal symptoms. However, there are still no practical guidelines regarding the indications for immunotherapy, the appropriate selection of the allergen, and the optimal duration of therapy. Moreover, no clear indications exist for surgical treatment. Pregnant or lactating women frequently complain of symptoms of rhinitis. However, due to the fear of potential complications to their babies, they avoid medical treatment despite significant discomfort. Therefore, we present 14 answers to core questions about immunotherapy, surgical treatment, and considerations for special circumstances, such as pregnancy and lactation.",

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AU - Kim, Bong Seong

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AU - Kim, Jeong Hee

AU - Park, So Yeon

AU - Song, Keejae

AU - Yang, Min Suk

AU - Lee, Young Mok

AU - Lee, Hyun Jong

AU - Cho, Jae Hong

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AU - Park, Yang

AU - Bae, Woo Yong

AU - Koh, Young Il

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AB - In order to prevent sensitization to a new allergen and the development of asthma, practitioners may consider allergen-specific immunotherapy in patients with allergic rhinitis. Additionally, in patients with severe allergic rhinitis refractory to medication, practitioners can also consider surgical management for improving the patients' nasal symptoms. However, there are still no practical guidelines regarding the indications for immunotherapy, the appropriate selection of the allergen, and the optimal duration of therapy. Moreover, no clear indications exist for surgical treatment. Pregnant or lactating women frequently complain of symptoms of rhinitis. However, due to the fear of potential complications to their babies, they avoid medical treatment despite significant discomfort. Therefore, we present 14 answers to core questions about immunotherapy, surgical treatment, and considerations for special circumstances, such as pregnancy and lactation.

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Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances

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Keywords

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