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引用次数: 0
摘要
过敏性鼻炎(AR)是一种普遍存在的疾病,其发病率仍在不断上升。过敏性鼻炎可能与其他疾病相关,包括结膜炎、鼻炎、哮喘、食物过敏和特应性皮炎。诊断的依据是病史、体格检查、致敏记录(如过敏原特异性 IgE 的产生),也可在特定患者中使用分子诊断。治疗以教育、参与、避免接触过敏原、非药物和药物疗法以及过敏原特异性免疫疗法(Ait)为基础。对症治疗主要涉及鼻内/口服抗组胺药和/或鼻腔皮质类固醇。本文还旨在讨论针对过敏性鼻炎患者的新管理策略。过敏性鼻炎的自我管理可包括新策略。在这方面,应特别关注无需医生处方的鼻内皮质类固醇和抗组胺药、益生菌和其他天然物质,以及 Ait 的新配方(片剂)。
[Recent advances in the practical management of allergic rhinitis.]
Allergic rhinitis (AR) is a widespread disease, and its prevalence is still growing. AR may be associated with other diseases, including conjunctivitis, rhinosinusitis, asthma, food allergy, and atopic dermatitis. Diagnosis is based on history, physical examination, documentation of sensitization, such as the production of allergen-specific IgE, also using molecular diagnostics in selected patients. Treatments is based on education, engagement, allergen avoidance, non-pharmacological and pharmacological remedies, and allergen-specific immunotherapy (Ait). Symptomatic treatments mainly concern intranasal/oral antihistamines and/or nasal corticosteroids. This article also aims to discuss new management strategies for AR patients. The self-management of allergic rhinitis could include new strategies. In this regard, particular interest should be considered to intranasal corticosteroids and antihistamines without medical prescription, probiotics and other natural substances, and new formulations (tablets) of Ait.
期刊介绍:
Giunta ormai al sessantesimo anno, Recenti Progressi in Medicina continua a costituire un sicuro punto di riferimento ed uno strumento di lavoro fondamentale per l"ampliamento dell"orizzonte culturale del medico italiano. Recenti Progressi in Medicina è una rivista di medicina interna. Ciò significa il recupero di un"ottica globale e integrata, idonea ad evitare sia i particolarismi della informazione specialistica sia la frammentazione di quella generalista.