Here are my suggestions for some of the top articles about allergic rhinitis for April 2014:
FDA OKs Under-the-Tongue Oralair for Hay Fever: Due to the black box warning for anaphylaxis and death, all patients on Oralair must be prescribed an epinephrine auto-injector (requried by FDA) http://bit.ly/1k5ZHQX -- Allergist predicts: Oralair has little chance of success in the U.S. http://bit.ly/1k60gKH -- Due to anaphylaxis risk, any physician prescribing Oralair will be incurring a risk/liability. Injectable epinephrine should always be available for a person taking SLIT, including Oralair. It doesn't treat immediate symptoms -- months are required to realize benefits.
FDA asked for postapproval studies for Grastek's safety in children (5-11) due to lip swelling and oral blistering http://buff.ly/1mcxTrV
Uncontrolled allergic rhinitis and chronic rhinosinusitis - EAACI position paper http://buff.ly/Hv9YVm - US approach is slightly different
Validated questionnaire for atopy http://buff.ly/1mthliG and from CDC: http://buff.ly/1mthjHw
Sensitization Rates in Young Germans: Big Numbers - Big Risks - Big Confusion http://buff.ly/1i0OmjR
Skin prick test positivity to 1 or more allergens varied within Europe from 31% to 53% among adults http://buff.ly/1mw1teg
Daily SMS reminder improves adherence to medication and treatment outcomes in allergic rhinitis http://buff.ly/Ijecir - 30-day study, in most studies the effect is lost after 90 days.
ARIA Guidelines for Allergic Rhinitis in General Practice: only 31% of GPs aware of guidelines, 10% implement them http://buff.ly/1a8vzdZ
Old, Wise and Allergic: Allergies Are No Longer Solely Diseases of the Grandchildren http://buff.ly/1a8w1c5
Moving to a newly built home during infancy is associated with a considerable risk of rhinitis http://buff.ly/1cFCStt
Management of Contact Lens Wear in Patients With Ocular Allergy http://buff.ly/1hPdTJy
Rhinitis increases risk of intermittent claudication in adults (RR 4), independently of the presence of atopy http://buff.ly/1i5Stbs
Future treatments for allergic rhinitis as of 2014: anti-IgE omalizumab, histamine H3 & H4 receptor antagonists, toll-like receptors http://buff.ly/N53sra
Acupuncture for Allergies: limited benefit for allergic rhinitis symptoms, but benefit is short lived (8 weeks) http://buff.ly/NajFuD
Specific immunoglobulin E (IgE) profile for 40 allergens using a novel microarray technique (BioIC): IgE sensitization to mites, pets, cockroaches, seafood, and cheese, is associated with elevated FeNO in children http://buff.ly/1ou6ylC
Treatment Options for
Allergic Rhinitis (AR) and
Non-Allergic Rhinitis (NAR) in 6 Steps (click to enlarge the image).
The articles were selected from Twitter @Allergy and RSS subscriptions. Some of the top allergy accounts on Twitter contributed links. I appreciate the curation provided by @Aller_MD @AllergyNet @IgECPD @DrAnneEllis @AACMaven @AllergieVoeding @allergistmommy @mrathkopf @wheezemd.
Please feel free to send suggestions for articles to AllergyGoAway AT gmail DOT com and you will receive an acknowledgement in the next edition of this publication.
Image source: Wikipedia, Creative Commons license.