Research Article
Volume 9 Issue 3 - 2020
Standardized Sublingual Immunotherapy for Acaros in Pediatric Patients, in a Six-Year Follow-Up Period, in a High Specialty Hospital in the City of Mexico
Sandra Guadalupe Bautista Garcia1*, Beatriz Bayardo Gutierrez1, Rolando Laurel Laurel1, Maria De Lourdes Patricia Ramirez Sandoval2 and Gerardo T Lopez Perez1
1National Institute of Pediatrics, Allergy Service, Mexico
2General Hospital of Zone Number 32 IMSS, Mexico
*Corresponding Author: Sandra Guadalupe Bautista Garcia, National Institute of Pediatrics, Allergy Service, Mexico.
Received: January 28,2020; Published: February 12, 2020




Abstract

Introduction: Specific immunotherapy with allergens is the only treatment that can modify the natural course of allergic diseases. The dust mite is one of the most common aeroallergens in allergic rhinitis, allergic asthma and atopic dermatitis.

Justification: It is a therapy that is commonly administered to children because of its ease of application, and the adverse effects are less than with subcutaneous immunotherapy.

Objective: Describe the characteristics of patients aged 4 - 16 years who receive standardized sublingual immunotherapy against mites,

Method: Cross-sectional, observational, descriptive and retrospective study that includes patients diagnosed with allergic rhinitis, asthma and/or atopic dermatitis with positive skin tests exclusively for mites undergoing treatment with standardized sublingual immunotherapy for at least two years.

Statistical Analysis: With the study variables, the statistical program SPSS version 21 will be analyzed, with which the analysis will be carried out according to the type of variable and the results will be presented in tables and graph.

Results: The results of the case analysis are shown. of 63 patients, of these, it was found that 22 corresponded to female patients (34.9%). 100% of the patients had the diagnosis of allergic rhinitis; 74.5% also presented asthma and 6.3% of them also presented atopic dermatitis. No relationship was found between the size of the largest diameter of the papule measured in positive skin tests for mites. The average age of onset of sublingual immunotherapy to mites was 9.24 years, with an average treatment duration of 33.5 months. Immunotherapy effectiveness was reported in 88.9% of patients, 57.1% presented at some time assistance in the emergency department. 9.5% had adverse effects, the most common was local reaction in 7.9% and in 1.6% urticarial reaction.

Discussion: The prevalence of allergic diseases has increased considerably in the last 30 - 40 years. In our study, all cases presented allergic rhinitis; 74.5% also presented asthma and 6.3% of them also presented atopic dermatitis, 19% of the patients presented all three diseases. No relationship was found between the severity of allergic rhinitis with the size of the larger diameter of the papule versus each mite measured in skin tests.

Conclusion: Sublingual immunotherapy against mites is a specific treatment capable of controlling diseases such as allergic rhinitis, asthma and atopic dermatitis, as we find that it efficiently reduces both the symptoms, and the need for subjective pharmacological treatment, and that it is safe its administration

Keywords: Sublingual Immunotherapy; Rhinitis; Atopic Dermatitis; Asthma

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Citation: Sandra Guadalupe Bautista Garcia., et al. “Standardized Sublingual Immunotherapy for Acaros in Pediatric Patients, in a Six-Year Follow-Up Period, in a High Specialty Hospital in the City of Mexico”. EC Paediatrics 9.3 (2020): 01-10.

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