What is the most difficult trigger of pediatric allergic rhinitis to avoid?

Updated: Jun 04, 2021
  • Author: Jack M Becker, MD; Chief Editor: Harumi Jyonouchi, MD  more...
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The most difficult trigger to avoid is the family pet. Ideally, the pet should be removed from the home, but removal is the option, not the rule. Some helpful manipulations include removing the pet from the patient's bedroom and play area, using air cleaners in these areas and, occasionally, frequently sponge-bathing the pet (once per week). Even when these interventions are performed, many patients continue to experience symptoms. Other therapies are necessary in these patients; however, some patients choose to live with the source of offending allergens.

See Medication for a discussion of medications and allergen-specific immunotherapy (ie, allergy shots and sublingual [9] ). A 2009 study concluded that specific immunotherapy can be recommended for treatment because it is effective in reducing symptoms. [10] The US Food and Drug Administration (FDA) has approved several products for sublingual immunotherapy in patients with grass, dust mite, or ragweed allergy [11, 12, 13]

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