PMID- 33740216 OWN - NLM STAT- MEDLINE DCOM- 20210521 LR - 20210608 IS - 1865-8652 (Electronic) IS - 0741-238X (Linking) VI - 38 IP - 5 DP - 2021 May TI - A Retrospective Cohort Study of Sublingual Immunotherapy with Standardized Dermatophagoides farinae Drops for Allergic Rhinitis. PG - 2315-2322 LID - 10.1007/s12325-021-01686-x [doi] AB - INTRODUCTION: To evaluate the efficacy and safety of sublingual immunotherapy (SLIT) with standardized Dermatophagoides farinae (Df) drops in monosensitized and polysensitized patients with allergic rhinitis (AR) and to analyze the adverse events (AEs). METHODS: A retrospective analysis was performed using data for 68 patients with AR who received SLIT. The patients were divided into a monosensitized group (36 cases) and a polysensitized group (32 cases) based on serum-specific IgE test results. In the two groups of patients, total nasal symptoms score (TNSS), total medication score (TMS), visual analog scale (VAS) score, and AEs before treatment and at 1, 3, 6, and 12 months of treatment were evaluated. RESULTS: Compared with that before treatment, the TNSS, TMS, and VAS score in the monosensitized and polysensitized groups all decreased significantly at 3, 6, and 12 months of SLIT (all P < 0.05). There were no significant differences in treatment efficacy indicators between the two groups at all treatment time points (all P > 0.05). In terms of safety, compared with 1 month after initiating SLIT, the incidence of AEs in the monosensitized and polysensitized groups at 6 and 12 months of treatment significantly decreased (all P < 0.05). There was a statistically significant decrease in the incidence of AEs in both groups at 6 months compared with 3 months of treatment (chi(2) = 1.92 and 5.85, respectively, all P < 0.05). The difference in incidence of AEs between the monosensitized and polysensitized groups was not statistically significant at any treatment time point (all P > 0.05). AEs in all patients were local mild reactions; no serious AEs were found. CONCLUSION: SLIT with standardized Df drops has similar efficacy and safety for monosensitized and polysensitized patients with AR. AEs mostly occurred during the first 3 months of SLIT in both the monosensitized and polysensitized groups, and the incidence of AEs gradually decreased as the course of treatment extended. FAU - Ma, Xingkai AU - Ma X AD - Department of Otolaryngology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. FAU - Zhang, Yu AU - Zhang Y AD - Department of Otolaryngology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. FAU - Gu, Xiaodan AU - Gu X AD - Department of Otolaryngology, Fifth People Hospital of Zhangjiagang City, Suzhou, China. FAU - Wu, Geping AU - Wu G AUID- ORCID: 0000-0002-7194-0716 AD - Department of Otolaryngology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. Gordon-wu@qq.com. AD - Institute of Translational Medicine, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. Gordon-wu@qq.com. FAU - Liu, Jianyong AU - Liu J AD - Department of Otolaryngology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. FAU - Lu, Jianbin AU - Lu J AD - Department of Otolaryngology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. FAU - Yang, Huijun AU - Yang H AD - Department of Otolaryngology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210319 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Antigens, Dermatophagoides) MH - Animals MH - Antigens, Dermatophagoides MH - Dermatophagoides farinae MH - Humans MH - Retrospective Studies MH - *Rhinitis, Allergic/therapy MH - *Sublingual Immunotherapy MH - Treatment Outcome OTO - NOTNLM OT - Adverse events OT - Allergic rhinitis OT - Standardized Dermatophagoides farinae drops OT - Sublingual immunotherapy EDAT- 2021/03/20 06:00 MHDA- 2021/05/22 06:00 CRDT- 2021/03/19 17:32 PHST- 2021/01/22 00:00 [received] PHST- 2021/02/24 00:00 [accepted] PHST- 2021/03/20 06:00 [pubmed] PHST- 2021/05/22 06:00 [medline] PHST- 2021/03/19 17:32 [entrez] AID - 10.1007/s12325-021-01686-x [pii] AID - 10.1007/s12325-021-01686-x [doi] PST - ppublish SO - Adv Ther. 2021 May;38(5):2315-2322. doi: 10.1007/s12325-021-01686-x. Epub 2021 Mar 19.