Wood S F
Fam Pract. 1986 Jun;3(2):120-5. doi: 10.1093/fampra/3.2.120.
This is the second of two reviews of hay fever. The first article dealt with prevalence and natural history, historical background and mechanisms. This article outlines the clinical features of hay fever, examines the correlation of symptoms with pollen count and describes current views of diagnosis and investigation. History and examination, skin testing, the radio-immunosorbent test (RIST) and radio allergosorbent test (RAST) and the correlation between RAST and skin testing are described. Some consideration is given to the part played by nasal challenge tests and measurements of nasal airways resistance. The section on treatment includes some general considerations, avoidance measures, anti-histamines, nasal steroids, sodium cromoglycate, systemic steroids, nasal vasoconstrictors, hyposensitisation and eye preparations. The final section is centred on future developments.
这是关于花粉热的两篇综述中的第二篇。第一篇文章论述了花粉热的患病率与自然病史、历史背景及发病机制。本文概述了花粉热的临床特征，探讨了症状与花粉计数的相关性，并阐述了当前关于诊断和检查的观点。文中描述了病史与体格检查、皮肤试验、放射免疫吸附试验（RIST）和放射变应原吸附试验（RAST）以及RAST与皮肤试验之间的相关性。还对鼻激发试验和鼻气道阻力测量所起的作用进行了一些探讨。治疗部分包括一些一般性考量、避免措施、抗组胺药、鼻用类固醇、色甘酸钠、全身用类固醇、鼻血管收缩剂、减敏疗法和眼部制剂。最后一部分聚焦于未来的发展。
