World Journal of Pediatrics

, Volume 12, Issue 3, pp 283–290 | Cite as

Allergen specific sublingual immunotherapy in children with asthma and allergic rhinitis

  • Ivana Đurić-Filipović
  • Marco Caminati
  • Gordana Kostić
  • Đorđe Filipović
  • Zorica Živković
Review article

Abstract

Background

The incidence of asthma and allergic rhinitis (AR) is significantly increased, especially in younger children. Current treatment for children with asthma and allergic rhinitis include allergen avoidance, standard pharmacotherapy, and immunotherapy. Since standard pharmacotherapy is prescribed for symptoms, immunotherapy at present plays an important role in the treatment of allergic diseases. This article presents insights into the up-to-date understanding of immunotherapy in the treatment of children with allergic rhinitis and asthma.

Data sources

PubMed articles published from 1990 to 2014 were reviewed using the MeSH terms "asthma", "allergic rhinitis", "children", and "immune therapy". Additional articles were identified by hand searching of the references in the initial search.

Results

Numerous studies have shown that sublingual application of allergen specific immunotherapy (SLIT) is an adequate, safe and efficient substitution to subcutaneous route of allergens administration (SCIT) in the treatment of IgE-mediated respiratory tract allergies in children. According to the literature, better clinical efficacy is connected with the duration of treatment and mono sensitized patients.

Conclusions

At least 3 years of treatment and stable asthma before the immunotherapy are positive predictors of good clinical efficacy and tolerability of SLIT. SLIT reduces the symptoms of allergic diseases and the use of medicaments, and improves the quality of life of children with the diseases.

Key words

allergic asthma allergic rhinitis allergic sensitization immunotherapy 

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Copyright information

© Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Ivana Đurić-Filipović
    • 1
  • Marco Caminati
    • 2
  • Gordana Kostić
    • 3
  • Đorđe Filipović
    • 4
  • Zorica Živković
    • 5
  1. 1.Faculty of Medical Science KragujevacDepartment of ImmunologyKragujevacSerbia
  2. 2.Unita di Allergologia Centro Regionale di riferimento per la prevenzione, la diagnosi e la terapia delle malattie allergiche Ospedale Universitario Borgo TrentoVeronaItaly
  3. 3.Children’s HospitalClinical Centre KragujevacKragujevacSerbia
  4. 4.Institution for Emergency Medical CareBelgradeSerbia
  5. 5.Children’s Hospital for Lung Diseases and TuberculosisMedical Center “Dr Dragisa Misovic”BelgradeSerbia

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