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The Obama dilemma: Allergic rhinitis (animal dander allergy)—The great burden of illness

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Allergic rhinitis is one of the most common chronic diseases with over 600 million people affected worldwide. More than 200 million of them also suffer from concomitant asthma. Allergic rhinitis is generally under-diagnosed and under-treated. A significant burden of allergic rhinitis is due to pet allergies. In 2008 two major evidence-based documents on the management of allergic rhinitis were published, namely the US Rhinitis Practice Parameters and the ARIA/WHO Guidelines that stress the burden of allergic rhinitis due to animal allergens and the comorbidities of allergic rhinitis. We need a new approach targeting individual disease control in rhinitis due to animal allergens emphasizing avoidance and active treatment. The goals of the avoidance-treatment are to first improve patient care by recognizing each individual patient's burden of disease and expectations of therapy, and then to target and adjust the appropriate therapies to meet these expectations. Achieving these goals will, ultimately, help the patient to better self-manage his or her disease, thereby improving overall quality of life.
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Keywords: Allergic; animal; cat; comorbidities; costs; dander; dog; immunotherapy; indoor pet; rhinitis

Document Type: Research Article

Affiliations: Dean Medical Center, Madison, Wisconsin, USA. [email protected]

Publication date: November 1, 2009

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma and by having the potential to directly impact the quality of patient care. AAP welcomes the submission of original works including peer-reviewed original research and clinical trial results. Additionally, as the official journal of the Eastern Allergy Conference (EAC), AAP will publish content from EAC poster sessions as well as review articles derived from EAC lectures.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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