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- ARIA-EAACI care pathways for allergen immunotherapy in respiratory allergyPublication . Bousquet, Jean; Pfaar, Oliver; Agache, Ioana; Bedbrook, Anna; Akdis, Cezmi; Canonica, Giorgio Walter; Chivato, Tomas; Al-Ahmad, Mona; Rasib, A. H. Abdul; Ansotegui Zubeldia, Ignacio Javier; Bachert, Claus; Ispayeva, Zhanat; Bosnic-Anticevich, Sinthia; Recto, Marysia; Valiulis, Arunas; Durham, Stephen L; Gereda, Jose E; Schünemann, Holger; Levin, Michael; Zernotti, Mario; Fauquert, Jean-Luc; Sofiev, Mikhail; Kowalski, Marek; Chkhartishvili, Ekaterine; Bindslev-Jensen, Carsten; Wagenmann, Martin; Fontaine, Jean-François; Heffler, Enrico; Soto-Martinez, Manuel; Mahboub, Bassam; Jutel, Marek; Gerth Van Wijk, Roy; Lauerma, Antti; Ebisawa, Motohiro; Casale, Thomas; Bosse, Isabelle; Grisle, Ineta; Julge, Kaja; Barata, Luís Taborda; Meltzer, Eli O; Caraballo, Luis; Hoffmann-Sommergruber, Karin; Gawlik, Radoslaw; Devillier, Philippe; Chu, Derek K; Irani, Carla; Kraxner, Helga; Toppila-Salmi, Sanna; Montefort, Stephen; Nekam, Kristof; Kaidashev, Igor; Guzman, Maria Antonieta; El-Gamal, Yehia; Klimek, Ludger; Lau, Susanne; Valovirta, Erkka; Mullol, Joaquim; Palomares, Oscar; Ollert, Markus; O'Hehir, Robyn; Gelincik, Asli; Kvedarienė, Violeta; Wallace, Dana; Okubo, Kimihiro; Bergmann, Karl-Christian; Park, Hae-Sim; Papadopoulos, Nikolaos G.; Haahtela, Tari; Linnemann, Désirée Larenas; Wong, Gary Wk; Pham-Thi, Nhân; Martins, Pedro Carreiro; Regateiro, Frederico S.; Ivancevich, Juan Carlos; Malling, Hans-Jørgen; Zhang, Luo; Rottem, Menachem; Demoly, Pascal; Samoliński, Bolesław; Knol, Edward; Miculinic, Neven; Brough, Helen; Fiocchi, Alessandro; Sheikh, Aziz; Kritikos, Vicky; Almeida, Mário Morais; Cirule, Ieva; Gomez, R Maximiliano; Soto-Quiros, Manuel; Lodrup Carlsen, Karin C; Namazova-Baranova, Leyla; Ėmužytė, Regina; Bom, Ana Todo; Manning, Patrick; Pajno, Giovanni B; Gemicioglu, Bilun; Tsiligianni, Ioanna; Milenkovic, Branislava; Plavec, Davor; Halken, Susanne; Skypala, Isabel; O'Mahony, Liam; Fokkens, Wytske J; Lombardi, Carlo; Riggioni, Carmen; Shamji, Mohamed; Hossny, Elham; Vandenplas, Olivier; Mortz, Charlotte G; Rouadi, Philip; Tomazic, Peter Valentin; Passalacqua, Giovanni; Odemyr, Mikaëla; Marshall, Gailen D; Sanchez-Borges, Mario; Solé, Dirceu; Kalayci, Omer; Walusiak-Skorupa, Jolanta; Neffen, Hugo; Schmid-Grendelmeier, Peter; Roberts, Graham; Panzner, P.; Ohta, Ken; Scichilone, Nicola; Suppli-Ulrik, Charlotte; Kull, Inger; Yorgancıoglu, Arzu; Baharuddin, Abdullah; Sooronbaev, Talant; Serpa, Faradiba S; Patella, Vincenzo; Sova, Milan; Valero, Antonio; Laune, Daniel; Zidarn, Mihaela; Cardona, Victoria; Bonini, Matteo; Bjermer, Leif; Rodriguez-Gonzales, Monica; Torres, Maria J; Lourenço, Olga; Brussino, Luisa; Del Giacco, Stefano; Cepeda Sarabia, Alfonso M; Cecchi, Lorenzo; Sastre, Joaquin; Untersmayr, Eva; Melén, Erik; Cruz, Alvaro A; Niedoszytko, Marek; Dokic, Dejan; Sisul, Juan; Ventura, Maria Teresa; Moin, Mostafa; Gamkrelidze, Amiran; Palkonen, Susanna; Fonseca, Joao A; Schwarze, Jürgen; Wang, De Yun; Mösges, Ralph; Popov, Todor A; Gotua, Maia; Valentin Rostan, Marylin; Yusuf, Osman; Okamoto, Yoshitaka; Ryan, Dermot; Hrubiško, Martin; Urrutia-Pereira, Marilyn; Zuberbier, Torsten; Pawankar, Ruby; Khaitov, Musa; Vichyanond, Pakit; Calderon, Moises A; Rosário, Nelson; Kuna, Piotr; Waserman, Susan; Czarlewski, Wienczyslawa; Scadding, Glenis KAllergen immunotherapy (AIT), the gradually increasing repeated administration of high doses of allergens to allergic patients, offers the potential for immune tolerance against reactions to the natural exposures to specific allergens. AIT may lead to the long‐lasting remission of allergic symptoms and is the only disease‐modifying intervention in IgE‐mediated allergic respiratory diseases. [...]
- 2019 ARIA Care pathways for allergen immunotherapyPublication . Bousquet, Jean; Pfaar, Oliver; Togias, Alkis; Schünemann, Holger J; Ansotegui, Ignacio; Papadopoulos, Nikolaos G; Tsiligianni, Ioanna; Agache, Ioana; Anto, Josep M.; Bachert, Claus; Bedbrook, Anna; Bergmann, Karl-Christian; Bosnic-Anticevich, Sinthia; Bosse, Isabelle; Brozek, Jan; Calderon, Moises A; Canonica, Giorgio W; Caraballo, Luigi; Cardona, Victoria; Casale, Thomas; Cecchi, Lorenzo; Chu, Derek; Costa, Elísio; Cruz, Alvaro A; Czarlewski, Wienczyslawa; Durham, Stephen R; Du Toit, George; Dykewicz, Mark; Ebisawa, Motohiro; Fauquert, Jean Luc; Fernandez-Rivas, Montserrat; Fokkens, Wytske J; Fonseca, João; Fontaine, Jean-François; Gerth van Wijk, Roy; Haahtela, Tari; Halken, Susanne; Hellings, Peter; Ierodiakonou, Despo; Iinuma, Tomohisa; Ivancevich, Juan Carlos; Jacobsen, Lars; Jutel, Marek; Kaidashev, Igor; Khaitov, Musa; Kalayci, Omer; Kleine Tebbe, Jörg; Klimek, Ludger; Kowalski, Marek L; Kuna, Piotr; Kvedarienė, Violeta; La Grutta, Stefania; Larenas Linnemann, Désirée; Lau, Susanne; Laune, Daniel; Le Thi Tuyet, Lan; Lodrup Carlsen, Karin; Lourenço, Olga; Malling, Hans-Jørgen; Marien, Gert; Menditto, Enrica; Mercier, Gregoire; Mullol, Joaquim; Muraro, Antonella; O'Hehir, Robyn; Okamoto, Yoshitaka; Pajno, Giovanni B; Park, Hae-Sim; Panzner, Petr; Passalacqua, Giovanni; Pham-Thi, Nhan; Roberts, Graham; Pawankar, Ruby; Rolland, Christine; Rosario, Nelson; Ryan, Dermot; Samolinski, Boleslaw; Sanchez-Borges, Mario; Scadding, Glenis; Shamji, Mohamed H; Sheikh, Aziz; Sturm, Gunter J; Todo-Bom, Ana; Toppila-Salmi, Sanna; Valentin Rostan, Marylin; Valiulis, Arunas; Valovirta, Erkka; Ventura, Maria Teresa; Wahn, Ulrich; Walker, Samantha; Wallace, Dana; Waserman, Susan; Yorgancioglu, Arzu; Zuberbier, TorstenAllergen immunotherapy (AIT) is a proven therapeutic option for the treatment of allergic rhinitis and/or asthma. Many guidelines or national practice guidelines have been produced but the evidence-based method varies, many are complex and none propose care pathways. This paper reviews care pathways for AIT using strict criteria and provides simple recommendations that can be used by all stakeholders including healthcare professionals. The decision to prescribe AIT for the patient should be individualized and based on the relevance of the allergens, the persistence of symptoms despite appropriate medications according to guidelines as well as the availability of good-quality and efficacious extracts. Allergen extracts cannot be regarded as generics. Immunotherapy is selected by specialists for stratified patients. There are no currently available validated biomarkers that can predict AIT success. In adolescents and adults, AIT should be reserved for patients with moderate/severe rhinitis or for those with moderate asthma who, despite appropriate pharmacotherapy and adherence, continue to exhibit exacerbations that appear to be related to allergen exposure, except in some specific cases. Immunotherapy may be even more advantageous in patients with multimorbidity. In children, AIT may prevent asthma onset in patients with rhinitis. mHealth tools are promising for the stratification and follow-up of patients.
- Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidencePublication . Bousquet, Jean; Schünemann, Holger J; Togias, Akdis; Bachert, Claus; Erhola, Martina; Hellings, Peter; Klimek, Ludger; Pfaar, Oliver; Wallace, Dana; Ansotegui, Ignacio; Agache, Ioana; Devillier, Philippe; Dykewicz, Mark; Ebisawa, Motohiro; Fauquert, Jean-Louis; Fokkens, Wytske J; Fonseca, Joao A; Fontaine, Jean-François; Gemicioglu, Bilun; van Wijk, Roy Gerth; Haahtela, Tari; Halken, Susanne; Ierodiakonou, Despo; Iinuma, Tomohisa; Ivancevich, Juan-Carlos; Jutel, Marek; Kaidashev, Igor; Khaitov, Musa; Kalayci, Omer; Kleine Tebbe, Jorg; Kowalski, Marek L; Kuna, Piotr; Kvedarienė, Violeta; La Grutta, Stefania; Linnemann, Désirée Larenas; Lau, Susanne; Laune, Daniel; Le Thi Tuyet, Lan; Lieberman, Philipp; Lodrup Carlsen, Karin C; Lourenço, Olga; Marien, Gert; Carreiro-Martins, Pedro; Melén, Erik; Menditto, Enrica; Neffen, Hugo; Mercier, Gregoire; Mosgues, Ralph; Mullol, Joaquim; Muraro, Antonella; Namazova-Baranova, Leyla; Novellino, Ettore; O'Hehir, Robyn; Okamoto, Yoshitaka; Ohta, Ken; Park, Hae-Sim; Panzner, Petr; Passalacqua, Giovanni; Pham-Thi, Nhan; Price, David; Roberts, Graham; Roche, Nicolas; Rolland, Christine; Rosario, Nelson; Ryan, Dermot; Samolinski, Boleslaw; Sanchez-Borges, Mario; Scadding, Glenis K; Shamji, Mohamed H; Sheikh, Aziz; Todo-Bom, Ana; Toppila-Salmi, Sanna; Tsiligianni, Ioana; Valentin Rostan, Marylin; Valiulis, Arunas; Valovirta, Erkka; Ventura, Maria Teresa; Walker, Samantha; Waserman, Susan; Yorgancioglu, Arzu; Zuberbier, Torsten; Bedbrook, Anna; Bergmann, Karl-Christian; Bewick, Mike; Bonniaud, Philippe; Bosnic-Anticevich, Sinthia; Bossé, Isabelle; Bouchard, Jacques; Boulet, Louis-Philippe; Brozek, Jan; Brusselle, Guy; Calderon, Moises A; Canonica, Walter G; Caraballo, Luis; Cardona, Vicky; Casale, Thomas; Cecchi, Lorenzo; Chu, Derek K; Costa, Elísio; Cruz, Alvaro A; Czarlewski, Wienczyslawa; D'Amato, GennaroThe selection of pharmacotherapy for patients with allergic rhinitis aims to control the disease and depends on many factors. Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines have considerably improved the treatment of allergic rhinitis. However, there is an increasing trend toward use of real-world evidence to inform clinical practice, especially because randomized controlled trials are often limited with regard to the applicability of results. The Contre les Maladies Chroniques pour un Vieillissement Actif (MACVIA) algorithm has proposed an allergic rhinitis treatment by a consensus group. This simple algorithm can be used to step up or step down allergic rhinitis treatment. Next-generation guidelines for the pharmacologic treatment of allergic rhinitis were developed by using existing GRADE-based guidelines for the disease, real-world evidence provided by mobile technology, and additive studies (allergen chamber studies) to refine the MACVIA algorithm.
- Rhinitis associated with asthma is distinct from rhinitis alone: TARIA‐MeDALL hypothesisPublication . Bousquet, Jean; Melén, Erik; Haahtela, Tari; Koppelman, Gerard; Togias, Alkis; Valenta, Rudolf; Akdis, Cezmi; Czarlewski, Wienczyslawa; Rothenberg, Marc; Valiulis, Arunas; Wickman, Magnus; Aberer, Werner; Heinrich, Joachim; Sisul, Juan; Nunes, Elizabete; Plavec, Davor; Agache, Ioana; Al-Ahmad, Mona; Serpa, Faradiba; Alobid, Isam; Kalayci, Omer; Vichyanond, Pakit; Giacco, S. Del; Fiocchi, Alessandro; Ansotegui Zubeldia, Ignacio Javier; Custovic, Adnan; Martins, Pedro Carreiro; Rouadi, Philip; Arshad, Syed Hasan; Asayag, Estrella; Bárbara, Cristina; Abdullah, Baharudin; Moniuszko, Marcin; Tomazic, Peter Valentin; Popov, T. A.; Sayah, Zineb; Lkhagvaa, Battur; Nyembue Tshipukane , Dieudonne; Thomas, Mike; Bennoor, Kazi Saifuddin; Fyhrquist, Nanna Theresia; Irani, Carla; Berghea, Elena Camelia; Ėmužytė, Regina; De Blay, Frédéric; Toppila-Salmi, Sanna Katriina; Bergmann, Karl-Christian; Bernstein, D.; Bewick, M.; Casale, Thomas; Scheire, Sophie; Bumbacea, Roxana Silvia; Cepeda Sarabia, Alfonso; Puggioni, Francesca; Bush, Andrew; Chandrasekharan, Ramanathan; Ohta, Ken; Okubo, Kimihiro; Charpin, Denis; Gomez, R Maximiliano; Chen, Y. Z.; O'Hehir, Robyn; Cherrez Ojeda, Ivan; Bedbrook, Anna; To, Teresa; Chu, Derek K; Devillier, Philippe; Schmid-Grendelmeier, Peter; Didier, Alain; Repka-Ramirez, María Susana; Teixeira, Maria Do Céu; Ispayeva, Zhanat; Dokic, Dejan; Quirce, Santiago; Douagui , Habib; Ivancevich, Juan Carlos; Viegi, Giovanni; Gotua, Maia; Todo-Bom, Ana; Blain, Hubert; Guzman, Maria Antonieta; Kalyoncu, Ali Fuat; Hagemann, Jan; Buhl, Roland; Hamamah, Samir; Caraballo, Luis; Jares, Edgardo; Wallace, Dana; Chivato, Tomás; Jartti, Tuomas; Jassem, Ewa; Christoff, George; Julge, Kalev; Ogulur, Ismail; Kardas, Przemyslaw; Doulaptsi, Maria; Kirenga, Bruce; Helga, Kraxner; Durham, Stephen; Kull, Inger; Kulus, Marek; Daniel, Aguilar; Shamji, Mohamed; Kuna, Piotr; Nadif, Rachel; La Grutta, Stefania; Brightling, Chris; Samoliński, Bolesław; Lau, Susanne; Wang, De Yun; Cordeiro, Carlos Manuel Da Silva Robalo; Solé, Dirceu; Le Thi Tuyet, Lan; Recto, Marysia; Ouedraogo, Solange; Halken, Susanne; Levin, Michael; Lipworth, Brian; Lourenço, Olga; Mahboub, Bassam; Vandenplas, O.; Niedoszytko, Marek; Sastre, Joaquin; Martinez‐Infante, E.; Kupczyk, Maciej; Torres, María Jose; Matricardi, Paolo Maria; Cecchi, Lorenzo; Celedón, Juan C; Miculinic, Neven; Roche, Nicolas; Just, Jocelyne; Migueres, Nicolas; Brussino, Luisa; Florin, Mihaltan; Olze, Heidi; Savouré, Marine; Nekam, Kristof; Pali, Isabella; Okamoto, Yoshitaka; Palomares, O.; Lemonnier, Nathanaël; Carlsen, Karin C. Lodrup; Palosuo, Kati; Soto-Martinez, Manuel; Panaitescu, Carmen; Kvedarienė, Violeta; Panzner, P.; Braido, Fulvio; Tsiligianni, Ioanna; Rodriguez-Gonzalez, Monica; Scichilone, Nicola; Canonica, Giogio Walter; Passalacqua, Giovanni; Romantowski, Jan; Urrutia-Pereira, Marilyn; Filho, Nelson Augusto Rosario; Ollert, Markus W.; Rottem, Menachem; Chkhartishvili, Ekaterine; Sova, Milan; Valovirta, Erkka; Mohammad, Yousser; Sperl, Annette; Williams, Siân; Spranger, Otto; Neffen, Hugo; Stelmach, Rafael; Burte, Emilie; Valentin Rostan, Marylin; Park, Hae-Sim; Van Ganse, Eric; Van Hage, Marianne; Pitsios, Constantinos; Vasankari, Tuula; Linnemann, Désirée Larenas; Loureiro, Cláudia Chaves; Sagara, Hironori; Worm, Margitta; Yiallouros, Panayiotis; Yusuf, Osman; Zaitoun, Fares; Bonini, Matteo; Hrubiško, Martin; Cingi, C.; Dykewicz, Mark; Zernotti, Mario; Calderon, Moises; Halpin, David M.G.; Zidarn, Mihaela; Patella, Vincenzo; Sheikh, Aziz; Zuberbier, Jaron; Papadopoulos, Nikolaos; Louis, Renaud; Suppli Ulrik, Charlotte; Fonseca, João P.; Zuberbier, Torsten; Anto, Josep M.; Costa, Elisio; Eiwegger, Thomas; Bosnic-Anticevich, Sinthia; Cruz, Alvaro; Sousa, Jaime Correia de; Louis-Philippe, Boulet; Erhola, Marina; Cardona, Victoria; Carr, Warner; Gemicioglu, Bilun; Pawankar, Ruby; Fokkens, Wytske; Calvo, Mário; Garcia-Aymerich, J.; Mäkelä, Mika J.; Hofmann, Maja Ann; Klimek, Ludger; Makris, Michael; Mohamed Sayed, Zeinab; Maurer, Marcus; D'Amato, G.; Momas, Isabelle; Siroux, Valérie; Almeida, Mário Morais; Corrigan, Chris; Mullol, Joaquim; Montefort, Stephen; Jutel, Marek; Pham Thi, Nhan; Hossny, Elham; Akdis, Mubeccel; Pfaar, Oliver; Ventura, Maria Teresa; Regateiro, Frederico S.; Bindslev-Jensen, Carsten; Ring, Johannes; Bustamante, Mariona; Pinto, Bernardo Sousa; Kaidashev, Igor; Guerra, Stefano; Standl, Marie; Sunyer, J.; Keil, Thomas; Barata, Luís Taborda; Camargos, Paulo; Weiss, Scott; Naclerio, Robert; Yorgancıoglu, Arzu; Zhang, Luo; Nadeau, Kari; Abdul Latiff, AmirAsthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of “one-airway-one-disease,” coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the “Epithelial Barrier Hypothesis.” This review determined that the “one-airway-one-disease” concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme “allergic” (asthma) phenotype combining asthma, rhinitis, and conjunctivitis.