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尘螨致敏原聚合物皮下免疫治疗变应性鼻结膜炎和/或变应性哮喘的临床评估。

Clinical evaluation of subcutaneous immunotherapy with a polymerized molecular allergoid of Alt a 1 in patients with allergic rhinoconjunctivitis and/or allergic asthma caused by the mould .

机构信息

Service of Allergology, Hospital Vega Baja, San Bartolomé, Orihuela, Alicante, Spain.

出版信息

Eur Ann Allergy Clin Immunol. 2023 Nov;55(6):303-309. doi: 10.23822/EurAnnACI.1764-1489.267. Epub 2022 Sep 1.

DOI:10.23822/EurAnnACI.1764-1489.267
PMID:36047760
Abstract

This is a retrospective analysis of the clinical evolution of 14 patients diagnosed with allergic rhinoconjunctivitis (AR) and/or allergic asthma (AA) caused by , who were attended by the allergology service of Vega Baja Hospital of Orihuela (Alicante, Spain). The purpose was to assess the clinical impact and safety of 1-year of subcutaneous immunotherapy with a polymerized molecular allergoid of Alt a 1. Impact of the treatment on allergic diseases (mean number AR/AA episodes and ARIA/GINA classifications), changes in symptoms and prescribed medication, change in the global subjective clinical status of patients and satisfaction with the treatment were also evaluated. Adverse reactions were also recorded and analyzed. After 1-year of treatment, fewer AR and AA episodes (p less than 0.05) and improvements in ARIA/GINA classifications were observed. Significant improvements of symptoms (p less than 0.05) and a resulting general reduction of the medication prescribed was also detected. Improvements in the global subjective clinical status and good satisfaction rates were observed. Only 1 patient presented a local and not clinically relevant adverse reaction. The treatment showed promising effects with a significant improvement in the clinical status of all patients with a good safety profile.

摘要

这是对 14 名被诊断为对 / 或由 过敏的过敏性鼻结膜炎(AR)和/或过敏性哮喘(AA)患者的临床演变进行回顾性分析的结果,这些患者由西班牙奥里韦拉的贝加巴哈医院(阿利坎特)的过敏科进行诊治。目的是评估 1 年的皮下免疫治疗 Alt a 1 聚合分子变应原对过敏性疾病(AR/AA 发作的平均次数和 ARIA/GINA 分类)、症状和处方药物变化、患者整体主观临床状况的变化以及对治疗的满意度的临床影响和安全性。还记录和分析了不良反应。治疗 1 年后,AR 和 AA 发作次数减少(p 小于 0.05),ARIA/GINA 分类改善。症状显著改善(p 小于 0.05),并相应减少了所开药物的剂量。患者的整体主观临床状况得到改善,满意度高。只有 1 名患者出现局部且无临床意义的不良反应。该治疗具有显著的效果,所有患者的临床状况都得到显著改善,安全性良好。

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