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[Management in pollinosis and false pollinosis].
Summary
Pollen allergy and "false pollen allergy" from molds or other triggers can be treated with allergen desensitization. Combining semi-retard and aqueous allergen extracts offers rapid, effective treatment for hayfever and asthma.
Area of Science:
- Allergy and Immunology
- Environmental Health
Background:
- Pollen allergy (hayfever, allergic asthma) and non-respiratory allergic manifestations are typically diagnosed via skin tests and clinical history.
- False pollen allergy can stem from atmospheric molds, house dust, dermatophytes, food, or bacterial infections, often co-occurring with pollen allergy.
Observation:
- Negative skin reactions in false pollen allergy may worsen with preventive, prolonged-action corticosteroid injections.
- Initially seasonal allergies can transform into chronic, year-round conditions.
Findings:
- Desensitization with aqueous allergen extracts provides comprehensive protection against pollen and false pollen allergies.
- Semi-retard allergen extracts (alun-precipitated) offer faster treatment than tyrosine adsorbates (Pollinex) without dangerous reactions.
- Combining semi-retard and aqueous allergens in 10-15 annual injections yielded optimal therapeutic results over ten years.
Implications:
- Allergen immunotherapy, particularly with combined semi-retard and aqueous extracts, presents an effective treatment strategy.
- Oral corticosteroids are preferred over depot injections due to better metabolism and less circadian rhythm disruption.
- Understanding diverse triggers for allergy symptoms is crucial for effective management and treatment planning.