Lask U
Hals-Nasen-Ohren-Klinik und Poliklinik, Universität Tübingen.
Fortschr Med. 1990 Apr 20;108(12):229-31.
Allergic rhinitides are the most common immunological diseases seen by the ENT specialist. A differentiation is made between seasonal and perennial rhinopathia allergica. For the establishment of the diagnosis, considerable importance attaches to careful history taking. Further evidence as to the triggering allergen is obtained by a variety of skin tests, where, in cases of doubt, the suspected allergen can be verified by means of a rhinomanometrically controlled intranasal test. By means of various in vitro examinations, serum antibodies can be detected. Therapeutically, avoidance or partial avoidance is recommended; if this is not possible, however, immunotherapy by desensitization of the organism vis-a-vis the allergen, with resulting reduction in symptoms is employed. If this approach remains unsuccessful, symptomatic drug therapy is initiated.
变应性鼻炎是耳鼻喉科医生最常诊治的免疫性疾病。变应性鼻炎分为季节性和常年性。对于诊断的确立,详细的病史采集非常重要。通过各种皮肤试验可获得有关触发过敏原的进一步证据,如有疑问,可通过鼻阻力计控制的鼻内试验来验证可疑过敏原。通过各种体外检查可检测血清抗体。在治疗方面,建议避免或部分避免接触过敏原;然而,如果无法做到这一点,则采用针对过敏原使机体脱敏从而减轻症状的免疫疗法。如果这种方法仍未成功,则开始进行对症药物治疗。