Clottu Aurélie, Mahdi Aljedani Rima, Spertini François
Service d'immunologie et allergie, Département de médecine, CHUV, 1011 Lausanne.
Rev Med Suisse. 2020 Apr 8;16(689):688-693.
Allergy to furry animals is a frequent health issue, and should be suspected when investigating any yearlong rhinoconjonctivitis or asthma. A detailed medical history and skin prick tests are usually sufficient for diagnosis, and if necessary, specific IgE testing may be performed. In case of proven hypersensitivity, avoidance of animal allergens is the main therapeutic measure, primarily by removing the animal from the patient's environment, in association with symptomatic treatment. If animal removing is impossible, other measures exist to decrease allergen load, but not with the same -efficacy as removing the animal, particularly for asthma. Immunotherapy is available for cat and dog allergy, but indication is to be carefully discussed.
对毛茸茸动物过敏是一个常见的健康问题,在调查任何长期的鼻结膜炎或哮喘时都应怀疑有这种情况。详细的病史和皮肤点刺试验通常足以进行诊断,如有必要,可进行特异性IgE检测。如果证实存在过敏反应,避免接触动物过敏原是主要的治疗措施,主要是将动物从患者的环境中移除,并配合对症治疗。如果无法移除动物,还有其他措施可减少过敏原负荷,但效果不如移除动物,尤其是对哮喘而言。免疫疗法可用于猫和狗过敏,但应用指征需仔细讨论。