Oral immunotherapy of children with rhinoconjunctivitis due to birch pollen allergy. A double blind study.

Abstract:

:Thirty children with rhinoconjunctivitis due to birch pollinosis were treated in a double blind manner for 10 months with enteric-coated capsules containing either a birch pollen preparation (n = 14) with doses up to 1.4 X 10(6) biologic units per day or placebo (n = 16). Compared with the placebo group the actively treated children had less symptoms during the birch pollen season after 3 months of therapy (P = 0.035). Skin prick reactions decreased significantly more in the active group than in the placebo group after 10 months (P = 0.01). Conjunctival sensitivity was lower in the active group than in the placebo group after 3 months of treatment (P = 0.01) but not after 10 months. Compared with the placebo group the treated children more often increased their levels of IgG (P = 0.007) and pre-seasonal IgE (P = 0.001) against birch. There was a seasonal increase of IgE antibody level against birch in the placebo but not in the treatment group (P less than 0.001). None of the treated children developed asthma, compared with five of the untreated children. No general reactions occurred and few side effects were seen during the treatment period. We conclude that in children with birch pollinosis oral immunotherapy with high doses of a biologically potent preparation in enteric-coated capsules is effective, easy to perform, economic and safe.

journal_name

Allergy

journal_title

Allergy

authors

Möller C,Dreborg S,Lanner A,Björkstén B

doi

10.1111/j.1398-9995.1986.tb02028.x

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

271-9

issue

4

eissn

0105-4538

issn

1398-9995

journal_volume

41

pub_type

临床试验,杂志文章,随机对照试验

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