PMID- 28237130 OWN - NLM STAT- MEDLINE DCOM- 20180626 LR - 20191210 IS - 1578-1267 (Electronic) IS - 0301-0546 (Linking) VI - 45 IP - 5 DP - 2017 Sep-Oct TI - The efficacy and safety of sublingual immunotherapy in children and adult patients with allergic rhinitis. PG - 457-462 LID - S0301-0546(17)30007-1 [pii] LID - 10.1016/j.aller.2016.10.016 [doi] AB - BACKGROUND: Clinical research has shown that sublingual immunotherapy (SLIT) is effective and safe in moderate-severe allergic rhinitis (AR) induced by house dust mite (HDM). However, the sample size in many studies is small. Meanwhile, the controversy on the efficacy and safety in the very young children younger than four years old still existed. OBJECTIVE: The aim of this retrospective study is to evaluate the efficacy and safety of SLIT with Dermatophagoides farinae (Der.f) extracts in children and adult patients with allergic rhinitis, particularly in the very young children. METHOD: A total of 573 subjects aged 3-69 with AR received a three-year course of sublingual immunotherapy with Der.f extracts along with pharmacotherapy. The total nasal symptoms score (TNSS), total medication score (TMS), visual analogue score (VAS) and adverse events (AEs) were evaluated at each visit. RESULT: TNSS, TMS, VAS were significantly improved during the three-year course of treatment in comparison to the baseline values (P<0.01). Besides, significant improvement in nasal symptoms and reduction of medication use were also observed in young children aged 3-6 years (P<0.01). No severe systemic adverse events (AEs) were reported. CONCLUSION: SLIT with Der.f drops is clinically effective and safe in children and adult patients with HDM-induced AR, including the very young children less than four years old. CI - Copyright (c) 2017 SEICAP. Published by Elsevier Espana, S.L.U. All rights reserved. FAU - Lin, X AU - Lin X AD - Department of Otorhinolaryngology & Head and Neck Surgery, Hainan General Hospital, Haikou 570311, China. Electronic address: linxia3073@126.com. FAU - Lin, H AU - Lin H AD - Department of Otorhinolaryngology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China. FAU - Wei, X AU - Wei X AD - Department of Otorhinolaryngology & Head and Neck Surgery, Hainan General Hospital, Haikou 570311, China. FAU - Huang, Q AU - Huang Q AD - Department of Otorhinolaryngology & Head and Neck Surgery, Hainan General Hospital, Haikou 570311, China. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20170222 PL - Singapore TA - Allergol Immunopathol (Madr) JT - Allergologia et immunopathologia JID - 0370073 RN - 0 (Antigens, Dermatophagoides) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Animals MH - Antigens, Dermatophagoides/immunology/*therapeutic use MH - Child MH - Child, Preschool MH - Dermatophagoides farinae MH - Female MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Rhinitis, Allergic/immunology/*therapy MH - Sublingual Immunotherapy/*methods MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Allergic rhinitis OT - Dermatophagoides farinae OT - Efficacy OT - Sublingual immunotherapy OT - Young children EDAT- 2017/02/27 06:00 MHDA- 2018/06/27 06:00 CRDT- 2017/02/27 06:00 PHST- 2016/09/23 00:00 [received] PHST- 2016/10/31 00:00 [accepted] PHST- 2017/02/27 06:00 [pubmed] PHST- 2018/06/27 06:00 [medline] PHST- 2017/02/27 06:00 [entrez] AID - S0301-0546(17)30007-1 [pii] AID - 10.1016/j.aller.2016.10.016 [doi] PST - ppublish SO - Allergol Immunopathol (Madr). 2017 Sep-Oct;45(5):457-462. doi: 10.1016/j.aller.2016.10.016. Epub 2017 Feb 22.