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KMID : 0614720170600030257
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Journal of Korean Medical Association
2017 Volume.60 No. 3 p.257 ~ p.269
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Clinical diagnostic guidelines of allergic rhinitis: comprehensive treatment and consideration of special circumstances
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Kim Young-Hyo
Lee Sang-Min
Kim Mi-Ae
Yang Hyeon-Jong
Choi Jeong-Hee
Kim Dong-kyu
Yoo Young
Kim Bong-Seong
Kim Won-Young
Kim Jeong-Hee
Park So-Yeon
Song Kee-Jae
Yang Min-Suk
Lee Young-Mok
Lee Hyun-Jong
Cho Jae-Hong
Jee Hye-Mi
Park Yang
Bae Woo-Yong
Koh Young-Il
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Abstract
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In order to prevent sensitization to a new allergen and the development of asthma, practitioners may consider allergen-specific immunotherapy in patients with allergic rhinitis. Additionally, in patients with severe allergic rhinitis refractory to medication, practitioners can also consider surgical management for improving the patients’ nasal symptoms. However, there are still no practical guidelines regarding the indications for immunotherapy, the appropriate selection of the allergen, and the optimal duration of therapy. Moreover, no clear indications exist for surgical treatment. Pregnant or lactating women frequently complain of symptoms of rhinitis. However, due to the fear of potential complications to their babies, they avoid medical treatment despite significant discomfort. Therefore, we present 14 answers to core questions about immunotherapy, surgical treatment, and considerations for special circumstances, such as pregnancy and lactation.
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KEYWORD
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Rhinitis, allergic, Guideline, Surgery, Immunotherapy
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