PMID- 23921568 OWN - NLM STAT- MEDLINE DCOM- 20131202 LR - 20220317 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 162 IP - 2 DP - 2013 TI - A molecular diagnostic algorithm to guide pollen immunotherapy in southern Europe: towards component-resolved management of allergic diseases. PG - 163-72 LID - 10.1159/000353113 [doi] AB - Correct identification of the culprit allergen is an essential part of diagnosis and treatment in immunoglobulin E (IgE)-mediated allergic diseases. In recent years, molecular biology has made important advances facilitating such identification and overcoming some of the drawbacks of natural allergen extracts, which consist of mixtures of various proteins that may be allergenic or not, specific for the allergen source or widely distributed (panallergens). New technologies offer the opportunity for a more accurate component-resolved diagnosis, of benefit especially to polysensitized allergic patients. The basic elements of molecular diagnostics with potential relevance to immunotherapy prescription are reviewed here, with a focus on Southern European sensitization patterns to pollen allergens. We propose a basic algorithm regarding component-resolved diagnostic work-up for pollen allergen-specific immunotherapy candidates in Southern Europe; this and similar algorithms can form the basis of improved patient management, conceptually a 'Component-Resolved Allergy Management'. CI - Copyright (c) 2013 S. Karger AG, Basel. FAU - Douladiris, Nikolaos AU - Douladiris N AD - Allergy Department, 2nd Pediatric Clinic, University of Athens, Athens, Greece. FAU - Savvatianos, Savvas AU - Savvatianos S FAU - Roumpedaki, Irene AU - Roumpedaki I FAU - Skevaki, Chrysanthi AU - Skevaki C FAU - Mitsias, Dimitrios AU - Mitsias D FAU - Papadopoulos, Nikolaos G AU - Papadopoulos NG LA - eng PT - Journal Article DEP - 20130731 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Allergens) RN - 0 (Antigens, Plant) RN - 0 (Plant Proteins) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - *Algorithms MH - Allergens/*administration & dosage/immunology MH - Antigens, Plant/administration & dosage/immunology MH - Desensitization, Immunologic/*methods MH - Europe MH - Humans MH - Immunoglobulin E/immunology MH - Molecular Diagnostic Techniques/*methods MH - Plant Proteins/administration & dosage/immunology MH - Pollen/*immunology MH - Rhinitis, Allergic, Seasonal/diagnosis/*therapy EDAT- 2013/08/08 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/08/08 06:00 PHST- 2013/02/20 00:00 [received] PHST- 2013/05/17 00:00 [accepted] PHST- 2013/08/08 06:00 [entrez] PHST- 2013/08/08 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 000353113 [pii] AID - 10.1159/000353113 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2013;162(2):163-72. doi: 10.1159/000353113. Epub 2013 Jul 31.