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

Authors
Kim, Young HyoLee, Sang MinKim, Mi-AeYang, Hyeon-JongChoi, Jeong-HeeKim, Dong-KyuYoo, YoungKim, Bong-SeongKim, Won-YoungKim, Jeong HeePark, So YeonSong, KeejaeYang, Min-SukLee, Young-MokLee, Hyun JongCho, Jae-HongJee, Hye MiPark, YangBae, Woo YongKoh, Young-Il
Issue Date
Mar-2017
Publisher
대한의사협회
Keywords
Rhinitis; allergic; Guideline; Surgery; Immunotherapy
Citation
대한의사협회지, v.60, no.3, pp 257 - 269
Pages
13
Journal Title
대한의사협회지
Volume
60
Number
3
Start Page
257
End Page
269
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7756
DOI
10.5124/jkma.2017.60.3.257
ISSN
1975-8456
2093-5951
Abstract
In order to prevent sensitization to a new allergen and the development of asthma, practitioners may consider allergenspecific 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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