Management of Allergic Rhinitis in the United Arab Emirates: Expert Consensus Recommendations on Allergen Immunotherapy

Allergic rhinitis (AR) is a chronic inflammatory condition of the upper airways caused by a type I hypersensitivity reaction triggered by environmental allergens. AR is associated with significant morbidity and affects patients' quality of life, emotional well-being, productivity, and cognitive...

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Published in:Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e65260
Main Authors: Zaitoun, Fares, Al Hameli, Hamad, Karam, Marilyn, Gutta, Ravi, Wustenberg, Eike, Arora, Tushar, Abuzakouk, Mohamed
Format: Article
Language:English
Subjects:
Air pollution
Allergens
Allergies
Asthma
Cognitive ability
Disease
Drug therapy
Hay fever
Histamine
Immunotherapy
Outdoor air quality
Patients
Performance evaluation
Quality of life
Questionnaires
Rhinitis
Steroids
Well being
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Summary:Allergic rhinitis (AR) is a chronic inflammatory condition of the upper airways caused by a type I hypersensitivity reaction triggered by environmental allergens. AR is associated with significant morbidity and affects patients' quality of life, emotional well-being, productivity, and cognitive functioning. As AR prevalence and morbidity have increased significantly worldwide, similar observations have been noted in the United Arab Emirates (UAE) with AR becoming a potential public health issue. Management of AR in the UAE is mainly provided by non-allergy specialists relying on first-line treatments such as intranasal steroids and antihistamines, with often suboptimal and short-term efficacy. Allergen Immunotherapy (AIT) is the only currently available disease-modifying treatment option in the form of either subcutaneous or sublingual allergen immunotherapy that has been proven to have long-term benefits. This article aims to provide recommendations regarding the use of AIT for managing AR in the UAE, considering both the current landscape in the Emirati healthcare system and local experience.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.65260