Summary:
At the present time allergen immunotherapy (AIT) is the only causal intervention influencing the course of
allergic disease. It is based on the application of increasing amounts of allergen to which the patient is oversensitive
with the aim to reach the dose, which is effective in reaching diminution (disappearance) of symptoms caused by
a contact with the causal allergen. The treatment is indicated in patients with allergic rhinitis, conjunctivitis and
in allergy to insect bite. In previous time the immunotherapy with allergens was administered parenterally. In the
last years increasing attention is paid to local (especially sublingual) route of administration. The authors describe
their own experience in one-year sublingual AIT with Staloralon in 26 patients affected by manifestations of
pollinosis. The monitoring of the disease manifestations during the pollen season revealed a significant decrease in
the occurrence of ocular (P < 0.001), nasal (P < 0.001) and skin (P < 0.01) symptoms as well as symptoms of bronchial
asthma (P < 0.01). Therewas a significant improvement of ocular (P < 0.04) and nasal (P < 0.03) symptoms between
the second and third year of therapy, the improvement of symptoms of bronchial asthma and skin manifestations
was not significant, possibly due to a lownumber of patients in the group. The results indicate amarked therapeutic
effect of AIT in children with pollinosis, but the importance of this kind of therapy should be proved in a longer
period of observation of the treated patients.
Key words:
allergen immunotherapy, indication and contraindication, pollinosis, children
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