4.1 Article

Systemic Reactions to Subcutaneous Allergen Immunotherapy

Journal

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.iac.2011.02.007

Keywords

Subcutaneous immunotherapy; Systemic reactions; Anaphylaxis

Funding

  1. NCATS NIH HHS [UL1 TR000077] Funding Source: Medline
  2. NIAID NIH HHS [T32 AI060515] Funding Source: Medline

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Subcutaneous allergen immunotherapy (SCIT) has been practiced for 100 years. Many trials have established the efficacy of SCIT in reducing symptoms of both seasonal allergic rhinitis and asthma due to aeroallergens. However, clinical benefits of SCIT are tempered by risks of injection-related systemic reactions and life-threatening anaphylaxis. This article reviews data derived from retrospective surveys conducted to define the incidence, prevalence, and factors contributing to injection-related fatal anaphylactic and near-fatal systemic reactions, as well as recently initiated longitudinal surveillance studies of SCIT reactions.

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