Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances

Young Hyo Kim, Sang Min Lee, Mi Ae Kim, Hyeon Jong Yang, Jeong Hee Choi, Dong Kyu Kim, Young Yoo, Bong Seong Kim, Won Young Kim, Jeong Hee Kim, So Yeon Park, Keejae Song, Min Suk Yang, Young Mok Lee, Hyun Jong Lee, Jae Hong Cho, Hye Mi Jee, Yang Park, Woo Yong Bae, Young Il Koh

Research output: Contribution to journalArticle

Abstract

In order to prevent sensitization to a new allergen and the development of asthma, practitioners may consider allergen-specific immunotherapy in patients with allergic rhinitis. Additionally, in patients with severe allergic rhinitis refractory to medication, practitioners can also consider surgical management for improving the patients' nasal symptoms. However, there are still no practical guidelines regarding the indications for immunotherapy, the appropriate selection of the allergen, and the optimal duration of therapy. Moreover, no clear indications exist for surgical treatment. Pregnant or lactating women frequently complain of symptoms of rhinitis. However, due to the fear of potential complications to their babies, they avoid medical treatment despite significant discomfort. Therefore, we present 14 answers to core questions about immunotherapy, surgical treatment, and considerations for special circumstances, such as pregnancy and lactation.

Original languageEnglish
Pages (from-to)257-269
Number of pages13
JournalJournal of the Korean Medical Association
Volume60
Issue number3
DOIs
Publication statusPublished - 2017 Mar 1

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Keywords

  • Guideline
  • Immunotherapy
  • Rhinitis, allergic
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kim, Y. H., Lee, S. M., Kim, M. A., Yang, H. J., Choi, J. H., Kim, D. K., Yoo, Y., Kim, B. S., Kim, W. Y., Kim, J. H., Park, S. Y., Song, K., Yang, M. S., Lee, Y. M., Lee, H. J., Cho, J. H., Jee, H. M., Park, Y., Bae, W. Y., & Koh, Y. I. (2017). Clinical diagnostic guidelines of allergic rhinitis: Comprehensive treatment and consideration of special circumstances. Journal of the Korean Medical Association, 60(3), 257-269. https://doi.org/10.5124/jkma.2017.60.3.257