PMID- 20525506 OWN - NLM STAT- MEDLINE DCOM- 20100914 LR - 20100607 IS - 1557-8259 (Electronic) IS - 0030-6665 (Linking) VI - 43 IP - 3 DP - 2010 Jun TI - Local and systemic IgE in the evaluation and treatment of allergy. PG - 503-20, viii LID - 10.1016/j.otc.2010.02.009 [doi] AB - Traditional descriptions of type I hypersensitivity and its manifestations center on systemic immunoglobulin E (IgE)-mediated reactions to inciting antigens. Hence, many current diagnostic and therapeutic measures are based on systemic skin testing for allergy, systemic pharmacotherapy, and immunotherapy. Recent developments in rhinology and pulmonology, particularly in defining the phenomenon of local IgE production in various airway inflammatory conditions, have an impact on both medical and surgical diagnosis and management of these conditions. This review includes a discussion of allergy as a systemic disease, current systemic diagnostic and management strategies for allergy, and local IgE presence and synthesis in the upper and lower airways. CI - Copyright 2010 Elsevier Inc. All rights reserved. FAU - Hoddeson, Elizabeth K AU - Hoddeson EK AD - Department of Otolaryngology-Head and Neck Surgery, Emory University, 1365A Clifton Road NE, Suite A2300, Atlanta, GA 30322, USA. FAU - Pratt, Eleanor AU - Pratt E FAU - Harvey, Richard J AU - Harvey RJ FAU - Wise, Sarah K AU - Wise SK LA - eng PT - Journal Article PT - Review PL - United States TA - Otolaryngol Clin North Am JT - Otolaryngologic clinics of North America JID - 0144042 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Cytokines) RN - 0 (Histamine Antagonists) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Administration, Intranasal MH - Administration, Topical MH - Anti-Inflammatory Agents/therapeutic use MH - Asthma/drug therapy/immunology MH - B-Lymphocytes/immunology MH - Cytokines/immunology MH - Histamine Antagonists/*therapeutic use MH - Humans MH - Immunoglobulin E/*immunology MH - Immunotherapy/methods MH - Lung/immunology MH - Rhinitis, Allergic, Perennial/drug therapy/*immunology/*therapy RF - 83 EDAT- 2010/06/09 06:00 MHDA- 2010/09/15 06:00 CRDT- 2010/06/08 06:00 PHST- 2010/06/08 06:00 [entrez] PHST- 2010/06/09 06:00 [pubmed] PHST- 2010/09/15 06:00 [medline] AID - S0030-6665(10)00040-X [pii] AID - 10.1016/j.otc.2010.02.009 [doi] PST - ppublish SO - Otolaryngol Clin North Am. 2010 Jun;43(3):503-20, viii. doi: 10.1016/j.otc.2010.02.009.