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Immunotherapy for Inhalant Allergy

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3 Table 1. Abbreviations and Definitions of Common Terms Term Definition Allergen Epitope An amino acid sequence that binds to specific IgE of an allergic person causing an immunologic response with correlating clinical symptoms. Shared allergen epitopes are presumed to be the basis for allergic cross-reactivity. Allergen A protein or glyco-protein containing one or more allergen epitopes that can bind to IgE causing an immunologic reaction. ese are named by the species of origin and order of discovery (e.g., Der p 1 is the first allergen identified for Dermatophagoides pteronyssinus). Inhalant allergens For allergens to cause symptoms, there must be a route of exposure such as inhalation, ingestion, injection, or skin contact. Inhalant allergens primarily cause symptoms via inhalation and contact with respiratory mucosa. Allergen particles Allergens are carried by particles that can be inhaled and are buoyant in air primarily due to size. ey are usually referred to by order, family, genus, or species of origin (or vernacular equivalents). Examples of allergen particles include pollen and animal dander. Allergen sensitization Allergen sensitization refers to a positive allergy skin test or a test confirming binding to allergen-specific IgE. Testing can be positive with or without the presence of clinical allergy symptoms. Inhalant Allerg y A condition in which IgE-mediated symptoms are induced when naturally occurring amounts of allergen particles contact the respiratory mucosa. ere can be co-exposures such as to the ocular conjunctiva, nasal mucosa, and bronchial epithelium. Inhalant AIT e treatment of inhalant allergy through repeated administration of allergens at regular intervals to reduce allergic symptoms. SCIT Allergen immunotherapy administered by injecting allergen into the subcutaneous tissue. SLIT Allergen immunotherapy administered by placing allergen topically underneath the tongue. is can be in the form of aqueous (SLIT-Aq) or tablet (SLIT-T) allergen. Immunomodulation Altering the immune response resulting in continued benefit aer discontinuation of allergen immunotherapy. Tolerogenic Capable of producing immunological tolerance. Pre-seasonal SLIT Administered weeks to months prior to the onset of the relevant allergen season. Co-seasonal SLIT Administered during the relevant allergen season. Polyallergic Both history and testing confirm that a patient has allergies to multiple allergens. Polysensitized Multiple allergens positive on allerg y testing.

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