Coop Christopher A, Wolfley Graey M, Neaves Brittanie I
81st Medical Group, Keesler Medical Center, Biloxi, Mississippi.
Fed Pract. 2024 Jun;41(6):192-194. doi: 10.12788/fp.0487. Epub 2024 Jun 15.
Many military members suffer from allergic rhinoconjunctivitis, which causes burdensome symptoms such as rhinorrhea, sneezing, nasal congestion, and itchy, watery eyes. These symptoms are not controlled by medications, and many require aeroallergen immunotherapy. However, many patients in the military have difficulty remaining on immunotherapy due to frequent moves, deployments, and temporary duty assignments.
A 34-year-old active-duty service member was referred to the Keesler Medical Center allergy clinic with severe allergic rhinoconjunctivitis. His symptoms included rhinorrhea, sneezing, nasal congestion, and itchy, watery eyes, which had been present for several years, occurring seasonally and when exposed to animals. The patient previously received aeroallergen immunotherapy but discontinued the therapy due to frequent military deployments and duty station changes. He restarted immunotherapy and received counseling on aeroallergen avoidance. However, a subsequent military deployment interrupted the continued aeroallergen immunotherapy.
The case highlights the difficulty of managing allergy immunotherapy in the military health system due to frequent moves, deployments, and temporary duty assignments. Access to allergists and others trained to administer immunotherapy in deployed settings may help alleviate this challenge to mission readiness.
许多军人患有变应性鼻结膜炎，会引发诸如流涕、打喷嚏、鼻塞以及眼痒、流泪等令人困扰的症状。这些症状无法通过药物得到控制，许多患者需要进行变应原免疫治疗。然而，由于频繁调动、部署以及临时任务安排，许多军人患者难以持续接受免疫治疗。
一名34岁的现役军人因严重变应性鼻结膜炎被转诊至基斯勒医疗中心过敏诊所。他的症状包括流涕、打喷嚏、鼻塞以及眼痒、流泪，这些症状已持续数年，在季节交替时以及接触动物时发作。该患者此前接受过变应原免疫治疗，但由于频繁的军事部署和工作地点变动而中断治疗。他重新开始免疫治疗，并接受了关于避免接触变应原的咨询。然而，随后的一次军事部署再次中断了持续的变应原免疫治疗。
该病例凸显了在军事卫生系统中，由于频繁调动、部署和临时任务安排，管理过敏免疫治疗存在困难。在部署环境中能够获得过敏症专科医生及其他接受过免疫治疗管理培训人员的服务，可能有助于缓解这一对任务准备状态的挑战。
