Rhinitis is the inflammation of the nasal lining membranes.
Allergic rhinitis is most prevalent in childhood and adolescence.
Careful elimination of nonallergic etiologies must be done in preschool children as allergic rhinitis is unusual in <3 years of age.

Supportive Therapy

  • Recommended for allergy testing-positive patients with inadequate response to pharmacologic therapy & allergen avoidance measures
Principles of Therapy
  • Repeated administration of specific allergens in patients with IgE-mediated conditions to provide protection against allergic symptoms associated with exposure to these allergens
  • Only intervention that alters the natural history of allergic rhinitis
  • Indicated for patients with the following:
    • Evidence of specific IgE antibody to allergen (positive allergy test results)
    • Any of the following:
      • Patient’s/guardian’s preference
      • Required medications
      • Response to avoidance measures
      • Clinically diagnosed with both allergic rhinitis & asthma
      • Adherence to therapy
      • Adverse effects to medications
      • Prevention of asthma in allergic rhinitis patients
  • Should be performed by trained personnel
  • May be administered through SC injection, nasal or sublingual/swallow route
  • Limited by frequent injection on regular basis & small risk of anaphylactic reactions
  • Recommended course is usually 4-5 years
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