Halting the Allergic March
The prevalence of childhood allergic diseases, such as allergic asthma, allergic rhinitis, and atopic dermatitis, has increased exponentially. In Singapore, the prevalence of asthma at all ages exceeds 20%, and around 50% of Singaporean children show features of an underlying allergy. The exact envi...
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doaj-657f70160b58430180bfceccbde350632020-11-25T01:27:47ZengElsevierWorld Allergy Organization Journal1939-45512008-01-01145762Halting the Allergic MarchHugo P. Van Bever, MD, PhD0Sudesh T. Samuel, RPH, MHSM1Bee Wah Lee, MD2Corresponding author.; Department of Paediatrics, National University Hospital, 5 Lower Kent Ridge Rd, 119074 Singapore, SingaporeDepartment of Paediatrics, National University Hospital, 5 Lower Kent Ridge Rd, 119074 Singapore, SingaporeDepartment of Paediatrics, National University Hospital, 5 Lower Kent Ridge Rd, 119074 Singapore, SingaporeThe prevalence of childhood allergic diseases, such as allergic asthma, allergic rhinitis, and atopic dermatitis, has increased exponentially. In Singapore, the prevalence of asthma at all ages exceeds 20%, and around 50% of Singaporean children show features of an underlying allergy. The exact environmental causes for the increase of allergic diseases have not yet been identified, but most researchers agree that a decreased bacterial load in young children may be one of the reasons for the increase. However, the causes of allergy are multiple, and the development of an allergic disease is the result of complex interactions between genetic constitution and environmental factors. In this review article, different aspects of allergic sensitization are covered, including prenatal and postnatal sensitization. The phenomenon of the ''allergic march'' (switching from one clinical expression of allergy to another) and its underlying mechanisms are discussed. The last part of this review article is on prevention and treatment of allergic diseases, including the role of bacterial products (probiotics, prebiotics, and synbiotics) and the role of immunotherapy, including sublingual immunotherapy. Keywords: review, allergy, children, allergic march, probiotics, immunotherapyhttp://www.sciencedirect.com/science/article/pii/S1939455119305769 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hugo P. Van Bever, MD, PhD Sudesh T. Samuel, RPH, MHSM Bee Wah Lee, MD |
spellingShingle |
Hugo P. Van Bever, MD, PhD Sudesh T. Samuel, RPH, MHSM Bee Wah Lee, MD Halting the Allergic March World Allergy Organization Journal |
author_facet |
Hugo P. Van Bever, MD, PhD Sudesh T. Samuel, RPH, MHSM Bee Wah Lee, MD |
author_sort |
Hugo P. Van Bever, MD, PhD |
title |
Halting the Allergic March |
title_short |
Halting the Allergic March |
title_full |
Halting the Allergic March |
title_fullStr |
Halting the Allergic March |
title_full_unstemmed |
Halting the Allergic March |
title_sort |
halting the allergic march |
publisher |
Elsevier |
series |
World Allergy Organization Journal |
issn |
1939-4551 |
publishDate |
2008-01-01 |
description |
The prevalence of childhood allergic diseases, such as allergic asthma, allergic rhinitis, and atopic dermatitis, has increased exponentially. In Singapore, the prevalence of asthma at all ages exceeds 20%, and around 50% of Singaporean children show features of an underlying allergy. The exact environmental causes for the increase of allergic diseases have not yet been identified, but most researchers agree that a decreased bacterial load in young children may be one of the reasons for the increase. However, the causes of allergy are multiple, and the development of an allergic disease is the result of complex interactions between genetic constitution and environmental factors. In this review article, different aspects of allergic sensitization are covered, including prenatal and postnatal sensitization. The phenomenon of the ''allergic march'' (switching from one clinical expression of allergy to another) and its underlying mechanisms are discussed. The last part of this review article is on prevention and treatment of allergic diseases, including the role of bacterial products (probiotics, prebiotics, and synbiotics) and the role of immunotherapy, including sublingual immunotherapy. Keywords: review, allergy, children, allergic march, probiotics, immunotherapy |
url |
http://www.sciencedirect.com/science/article/pii/S1939455119305769 |
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