Current issues on sublingual allergen-specific immunotherapy in children with asthma and allergic rhinitis.

Abstract:

:In 1993 the European Academy of Allergy and Clinical Immunology was the first official organization to recognize that sublingual administration could be “promising route” for allergic desensitization. A few years later, the World Health Organization recommended this therapy as “a viable alternative to the injection route in adults.” The first meta-analysis showed sublingual allergen specific immunotherapy (SLIT) effectiveness for allergic rhinitis and another study showed SLIT can actually help prevent the development of asthma both in adults and in children. The main goal of this review article is to present insight into the most up-to-date understanding of the clinical efficacy and safety of immunotherapy in the treatment of pediatric patients with allergic rhinitis and asthma. A literature review was performed on PubMed from 1990 to 2015 using the terms “asthma,” “allergic rhinitis,” “children,” “allergen specific immune therapy.” Evaluating data from double-blind placebo-controlled randomized clinical trials (DB-PC-RCTs), the clinical efficacy (assessed as the reduction of symptom score and the need of rescue medicament) of SLIT for allergic rhinitis and allergic asthma, has been confirmed in various meta-analysis Outcomes such as rhinoconjunctivitis score and medication scores, combined scores, quality of life, days with severe symptoms, immunological endpoints, and safety parameters were all improved in the SLIT-tablet compared with placebo group. SLIT safety has been already proven in many DB-PC-RCTs and real-life settings. In accordance with all of the above mentioned, the goals for future trials and studies are the development of comprehensive guidelines for clinical practice on immunotherapy, embracing all the different potential participants. The importance of allergen immunotherapy is of special relevance in the pediatric age, when the plasticity and modulability of the immune system are maximal, and when preventative effects can be reasonably expected.

journal_name

Srp Arh Celok Lek

authors

Živković Z,Djurić-Filipović I,Živanović S

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

345-50

issue

5-6

eissn

0370-8179

issn

2406-0895

journal_volume

144

pub_type

杂志文章,评审
  • [The role of endothelin in acute renal failure].

    abstract::During the study of the pathological significance of circulating endothelin (ET) in acute renal failure (ARF) we measured ET in 7 children (mean age 8.8+4.4 years) with ARF in the most severe phase, and 3.7+3.5 months later in the recovery period. Twenty-seven healthy children (mean age 11.1+/- 6.3 years) were include...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Peco-Antitsh A,Nastitsh-Miritsh D,Popovitsh-Rolovitsh M,Adanja G,Kostitsh M,Jovanovitsh N,Paripovitsh V

    更新日期:1995-11-01 00:00:00

  • [Recombinant activated factor VII and intraoperative use of cell saver in neurosurgical treatment of arteriovenous malformation].

    abstract:INTRODUCTION:Arteriovenous (AV) malformation of brain causes abundant intraoperative bleedings, because of increased blood flow, which complicates operative treatment. The use of cell saver for intraoperative salvage of blood and recombinant activated factor VII (rFVIIa) significantly reduces complications during opera...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,收录出版

    doi:10.2298/sarh08s3210n

    authors: Novak V,Petrović B,Calija B,Mitov L,Rancić Z

    更新日期:2008-09-01 00:00:00

  • [Bronchial reactivity in chronic obstructive bronchitis].

    abstract::The frequency and the degree of bronchial hyperreactivity was investigated in 92 patients suffering from chronic obstructive bronchitis. Bronchial reactivity was examgned by the inhalator acetylcholine test, with the use of a 5 mg dose of acetylcholine, diluted in 1 ml of sodium-chloride solution. The pulmonary functi...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Drecun V

    更新日期:1994-11-01 00:00:00

  • [Impact of the level of metabolic control on the non-surgical periodontal therapy outcomes in diabetes mellitus type 2 patients--clinical effects].

    abstract:INTRODUCTION:Diabetes mellitus as a complex metabolic disease influences functioning of numerous organs. Chronic periodontitis is one of frequent diabetic complications. OBJECTIVE:The aim of this study was to compare the clinical effects of non-surgical periodontal therapy between diabetes mellitus type 2 patients (DM...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1312738m

    authors: Mirnić J,Djurić M,Predin T,Gusić I,Petrović D,Andjelković A,Bajkin B

    更新日期:2013-11-01 00:00:00

  • [Epilepsy, eponyms and patron saints (history of Western civilization)].

    abstract::From a historic point of view, epilepsy and its eponyms were in an ontogenetic symbiosis throughout their history. Epilepsy is a disease with a history of eponyms presenting the frame of mind of both streetwise as well as skilled "authors" about its origin and nature. From ancient times the names for epilepsy, archety...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 历史文章,杂志文章

    doi:

    authors: Janković SM,Sokić DV,Lević ZM,Susić V,Stojsavljević N,Drulović J

    更新日期:1996-05-01 00:00:00

  • Histopathology of urinary bladder carcinoma: less common variants.

    abstract::Bladder cancer is a common form of neoplasia which most often presents histologically as urothelial (transitional cell) carcinoma. In this article we review recent publications dealing with the less common variants of urothelial carcinoma such as tumours that show unusual forms of differentiation or the well know squa...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:

    authors: Damjanov I,Golubović M

    更新日期:2011-09-01 00:00:00

  • Non-Hodgkin lymphomas in childhood: how to move on?

    abstract::Non-Hodgkin lymphomas of childhood represent a diverse group of neoplasms with different clinical, pathological, immunophenotypical and genetic features. A vast majority of childhood non-Hodgkin lymphomas could be classified into one of the three major histological subgroups: mature B-cell neoplasms, lymphoblastic lym...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:10.2298/sarh1408498d

    authors: Dokmanović L,Rodić P,Krstovski N,Lazić J,Dragana J

    更新日期:2014-07-01 00:00:00

  • Adverse Effects of Pharmacological Therapy of Benign Prostatic Hyperplasia on Sexual Function in Men.

    abstract:INTRODUCTION:The development of effective medications makes pharmacological therapy of BPH the dominant mode of treatment today. It improves urinary symptoms and prevents disease progression while producing side effects on male sexual function. OBJECTIVE:The aim of the study is to present the effects of BPH pharmacolo...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1506284s

    authors: Stojanović N,Ignjatović I,Djenić N,Bogdanović D

    更新日期:2015-05-01 00:00:00

  • [How the epidemics of typhus and relapsing fever were stopped in Serbia in 1915 year].

    abstract::Eighty years are passed after the catastrophic epidemics of Typhus and Relapsing Fever in 1915 in Serbia was stopped and put under control. This remarkable achievment was realized in cooperation of the British Military Mission and Serbian health services, one month before the usual seasonal maximum of epidemic wave. T...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 历史文章,杂志文章

    doi:

    authors: Litvinjenko S

    更新日期:1995-11-01 00:00:00

  • [Urban noise and myocardial infarction in the population].

    abstract::Recent studies have pointed out a relation between urban noise and the occurrence of myocardial infarction in population. Public health importance of these results derives from the fact that 20% of the European population and 31% of the Japanese are exposed to equivalent noise levels exceeding 65 dBA, considered as "b...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:

    authors: Belojević G,Jakovljević B,Stojanov V,Paunović K,Ilić J

    更新日期:2007-05-01 00:00:00

  • [Osteomyelitis of right frontal sinus anterior wall].

    abstract:INTRODUCTION:The paper describes a very rare, isolated exocranial complication of the purulent frontal sinus inflammation. Frontal bone osteomyelitis occurs either in the course of an acute episode or during the exacerbation of a chronic disease. By distribution, it can be diffuse or circumscript. It is more common in ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0804154s

    authors: Sente M,Kljajić-Milekić N

    更新日期:2008-03-01 00:00:00

  • Small bowel adenocarcinoma mimicking a large adrenal tumor.

    abstract:INTRODUCTION:Adenocarcinoma of the small bowel is a rare gastrointestinal neoplasm usually affecting the distal duodenum and proximal jejunum. Because of their rarity and poorly defined abdominal symptoms, a correct diagnosis is often delayed. CASE OUTLINE:We present a 43-year-old woman admitted at the Clinic for Endo...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1304232i

    authors: Ivović M,Zivaljević V,Vujović S,Marina L,Gajić MT,Dundjerović D,Barać M,Micić D

    更新日期:2013-03-01 00:00:00

  • [Reflux disease as an etiological factor of dental erosion].

    abstract:INTRODUCTION:Gastroesophageal reflux is a frequent disease which has a significant influence on the development of dental erosions. OBJECTIVE:The aim of this research was to determine the frequency of dental erosions among the patients with gastroesophageal reflux, as well as to verify the most common symptoms of gast...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1006292s

    authors: Stojsin I,Brkanić T,Slavoljub Z

    更新日期:2010-05-01 00:00:00

  • [Treatment of missed Monteggia lesion in children--case report].

    abstract:INTRODUCTION:A Monteggia lesion is a dislocation of the radial head associated with a fracture with the proximal third of the ulna. It is rare in children and the dislocation of the radial head is often missed at the time of injury. There are a lot of described treatment methods: open reduction of the radial head and r...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1102099v

    authors: Vukasinović Z,Jovanović V,Mitović D,Slavković N

    更新日期:2011-01-01 00:00:00

  • [Metoprolol and atenolol in mild-to-moderate chronic heart failure: comparative study].

    abstract::The clinical end-point of all causes of mortality and cardiovascular hospitalisation (combined end-points) is a widely accepted indicator of heart failure survival. The primary aim of this study was to examine the effects of metoprolol and atenolol on combined end-points in patients with mild-to-moderate heart failure...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,随机对照试验

    doi:10.2298/sarh0506242c

    authors: Celić V,Pencić B,Dekleva M,Dimković S,Kocijancić M

    更新日期:2005-05-01 00:00:00

  • [Orbital lymphomas].

    abstract::Lymphomas are relatively rare in the orbit: only about 8-11% of all orbital tumours. The most common histological type is diffuse well-differentiated lymphocytic lymphoma (DWDLL--Rappaport's classification)--70%. Orbital lesions are always curable by radiotherapy, but in some 40% of these patients local recurrence or ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Milosević R,Suvajdzić N,Jovanović V,Latković Z,Petrović Z,Colović M

    更新日期:1992-03-01 00:00:00

  • [Relationship between degree of dyspnoea and health-related quality of life in patients with chronic obstructive pulmonary disease].

    abstract:INTRODUCTION:Dyspnoea is a characteristic symptom of chronic obstructive pulmonary disease (COPD), which impairs everyday functioning of patients. OBJECTIVE:The aim of our study was to evaluate the relationship between the degree of dyspnoea of COPD patients and their health-related quality of life. METHOD:We measure...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0710547g

    authors: Gvozdenović BS,Mitić S,Zugić VG,Gvozdenović AT,Lazović NM,Plavsić S

    更新日期:2007-09-01 00:00:00

  • [Do we reach target lipid levels in diabetic and non-diabetic patients with previous myocardial infarction?].

    abstract:INTRODUCTION:Considering that dyslipidaemia is an important factor for cardiovascular diseases, target lipid levels are rarely reached in everyday clinical practice. OBJECTIVE:The objective of this study was to evaluate how often we achieve the treatment goals for the lipid parameters in the diabetic and non-diabetic ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1102030a

    authors: Aleksić E,Stamenković R,Lapcević M,Deljanin-Ilić M,Djordjević D,Tasić I

    更新日期:2011-01-01 00:00:00

  • [Peritoneal dialysis in the treatment of acute renal insufficiency].

    abstract::106 patients with acute renal failure (ARF) treated with peritoneal dialysis (PD) for the last 15 years (except for postrenal ARF treated only with HD, or ARF with conservative treatment) were analyzed. The commonest causes were sepsis (3), hemorrhagic fever (17) and complications of some internal or surgical disease ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Iknomovski J,Majster Z

    更新日期:1996-01-01 00:00:00

  • [Management of idiopathic nephrotic syndrome in childhood].

    abstract::The management of idiopathic nephrotic syndrome (INS) in children includes immunosuppressive and symptomatic treatment. The response to corticosteroid therapy is the best prognostic marker of the disease. The majority of children with INS (about 85%) are steroid-sensitive as they normalize proteinuria within 4 weeks o...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:10.2298/sarh0410352p

    authors: Peco-Antić A

    更新日期:2004-09-01 00:00:00

  • [Reduced glutathione level and GSH-dependent enzyme activities in corticonuclear blocks of lenses in patients with senile cataract].

    abstract:INTRODUCTION:Reduced compound glutathione (GSH) in the lens has the function to protect the thiol group of lens proteins, and as a substrate of glutathione peroxidase (GPx) and glutathione S-transferase (GST). Protein containing thiol groups is significant for the normal function of lens epithelium, i.e. enzymes Na-K-A...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1210563k

    authors: Kisić B,Mirić D,Žorić L,Ilić A,Dragojević I

    更新日期:2012-09-01 00:00:00

  • [Complications of cochlear implant surgery].

    abstract::During the last several decades, cochlear implant has been fully recognized in treatment of severe hearing loss. Development of modern technology enabled inconceivable possibilities of technical qualities of the device as well as development of usable coding strategies, which led to extraordinary results in patient re...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0410302k

    authors: Kosanović R,Ivanković Z,Stojanović S

    更新日期:2004-09-01 00:00:00

  • Prevalence of Enterococcus faecalis and Porphyromonas gingivalis in infected root canals and their susceptibility to endodontic treatment procedures: a molecular study.

    abstract:INTRODUCTION:Because apical periodontitis is recognizably an infectious disease, elimination or reduction of intracanal bacteria is of utmost importance for optimum treatment outcome. OBJECTIVE:The prevalence of Enterococcus faecalis and Porphyromonas gingivalis in infected root canals was studied Also, the effect of ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1410535s

    authors: Stojanović N,Krunić J,Popović B,Stojičić S,Zivković S

    更新日期:2014-09-01 00:00:00

  • [External fixation war injuries of the proximal humerus].

    abstract::Nine patients with open fractures of the proximal humerus were treated using an external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Radial nerve injury was present in five and two multiply injured patien...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0404092m

    authors: Mirić D,Senohradski K,Starcević B,Djordjević Z

    更新日期:2004-03-01 00:00:00

  • [Histologic manifestations in the skin in alpha-lactoalbumin intradermal tests in patients with chronic urticaria].

    abstract::Intradermal injection with alpha-lactoalbumine, 2000 PNU/ml was carried out in seven patients (1 male, 6 females, mean age 32.4 years) suffering from milk intolerance. None of the patients had a positive allergen-specific IgE antibodies in the sera (RAST). Skin test was performed on the volar part of the forearms at t...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Paranos S,Bojović S,Miletić V,Despotović N

    更新日期:1993-08-01 00:00:00

  • [Results of surgical treatment of retained testes].

    abstract:INTRODUCTION:Numerous papers discuss different opinions about determination of the best age for initiation of an appropriate medical or surgical therapy suggesting in this way modern dilemmas about this congenital malformation. All this emphasizes the importance of the problem, classification of professional disagreeme...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Jevtović D

    更新日期:1998-01-01 00:00:00

  • [Treatment of renal insufficiency in patients with multiple myeloma].

    abstract::Multiple myeloma is the most frequent dysproteinaemica causing renal damage. Renal damage can be manifested as acute or chronic renal failure, Tubular disfunction, urinary tract infection, or as proteinuria. The aim of this study is to present our experience in the treatment of renal failure developed during multiple ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Vulić D,Radlović O,Stanojcić A,Radmilović A,Rajić M

    更新日期:1996-01-01 00:00:00

  • [Tumours as cause of eyeball loss in adults].

    abstract::Causes of eyeball loss in patients over 15 years of age are analyzed, over the period from the beginning of 1966 to the end of 1987. Data from the files of the Ophtalmopathologic Laboratory, Department of Eye Diseases, UCC, Belgrade, were used. In the period of 22 years 2067 eyeballs were enucleated, the procedure bei...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Jovanović M,Latković Z,Marković V

    更新日期:1989-09-01 00:00:00

  • [Fungal and tuberculous peritonitis in patients on peritoneal dialysis: characteristics, therapy and outcome].

    abstract::Peritonitis is a serious clinical complication in patients with terminal chronic renal failure (CRF) on peritoneal dialysis (PD). The incidence of peritonitis varies from center to center, and during the last decade it occurs approximately in one patient during 24-60 therapeutical months, which is the result of good e...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:

    authors: Jovanović DB

    更新日期:2005-03-01 00:00:00

  • Early intervention in first episode psychosis: hope for a better future.

    abstract::In the last two decades the clinical and research focus in psychotic disorders has shifted to first episode psychosis, early detection of the prodromal phase of psychosis and an effective integrated treatment model known as "Early Intervention". The first five years of psychosis that is described as a "critical period...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:

    authors: Goldner-Vukov M,Cupina DD,Moore LJ,Baba-Milkić N,Milovanović S

    更新日期:2007-11-01 00:00:00