PMID- 23683513 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20220408 IS - 1097-6825 (Electronic) IS - 0091-6749 (Linking) VI - 132 IP - 1 DP - 2013 Jul TI - Grading local side effects of sublingual immunotherapy for respiratory allergy: speaking the same language. PG - 93-8 LID - S0091-6749(13)00528-9 [pii] LID - 10.1016/j.jaci.2013.03.039 [doi] AB - Sublingual immunotherapy (SLIT) is increasingly used worldwide. Despite its safety being well ascertained, there is no universally accepted system to grade and classify its adverse events (AEs). According to the literature, it seems reasonable to classify and grade systemic side effects by using the previously published World Allergy Organization recommendations. On the other hand, local side effects are the most frequent with SLIT, sometimes leading to its discontinuation. Therefore grading of the severity of local side effects was perceived as necessary for the purpose of uniform reporting, classification, and quantification of this aspect. A World Allergy Organization Taskforce, after examining the available literature and the postmarketing surveillance data, proposed a clinically based grading of the severity of local AEs caused by SLIT. The use of the Medical Dictionary for Regulatory Activities nomenclature for AEs was also included in this context. The proposed grading system for SLIT-induced local reactions is expected to improve and harmonize surveillance and reporting of the safety of SLIT. CI - Copyright (c) 2013 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved. FAU - Passalacqua, Giovanni AU - Passalacqua G AD - Allergy and Respiratory Diseases, University of Genoa, Genoa, Italy. passalacqua@unige.it FAU - Baena-Cagnani, Carlos E AU - Baena-Cagnani CE FAU - Bousquet, Jean AU - Bousquet J FAU - Canonica, Giorgio Walter AU - Canonica GW FAU - Casale, Thomas B AU - Casale TB FAU - Cox, Linda AU - Cox L FAU - Durham, Stephen R AU - Durham SR FAU - Larenas-Linnemann, Desiree AU - Larenas-Linnemann D FAU - Ledford, Dennis AU - Ledford D FAU - Pawankar, Ruby AU - Pawankar R FAU - Potter, Paul AU - Potter P FAU - Rosario, Nelson AU - Rosario N FAU - Wallace, Dana AU - Wallace D FAU - Lockey, Richard F AU - Lockey RF LA - eng PT - Journal Article DEP - 20130515 PL - United States TA - J Allergy Clin Immunol JT - The Journal of allergy and clinical immunology JID - 1275002 SB - IM MH - Administration, Sublingual MH - Adolescent MH - Adult MH - Aged MH - Desensitization, Immunologic/*adverse effects MH - Humans MH - Hypersensitivity/*therapy MH - Middle Aged EDAT- 2013/05/21 06:00 MHDA- 2013/09/10 06:00 CRDT- 2013/05/21 06:00 PHST- 2012/12/11 00:00 [received] PHST- 2013/01/28 00:00 [revised] PHST- 2013/03/06 00:00 [accepted] PHST- 2013/05/21 06:00 [entrez] PHST- 2013/05/21 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] AID - S0091-6749(13)00528-9 [pii] AID - 10.1016/j.jaci.2013.03.039 [doi] PST - ppublish SO - J Allergy Clin Immunol. 2013 Jul;132(1):93-8. doi: 10.1016/j.jaci.2013.03.039. Epub 2013 May 15.