Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy

The development of pollinosis in children and adolescents is determined by the influence of genetic and environmental factors. The pathogenetic basis of pollinosis in children and adolescents is the differentiation of Th0 to Th2, activation of Th2cells and increasing of the production of IL-4, IL-5,...

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Main Author: I. I. Balabolkin
Format: Article
Language:Russian
Published: Association of Paediatric Allergists and Immunologists of Russia (APAIR) 2023-03-01
Series:Аллергология и Иммунология в Педиатрии
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Online Access:https://adair.elpub.ru/jour/article/view/10
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author I. I. Balabolkin
author_facet I. I. Balabolkin
author_sort I. I. Balabolkin
collection DOAJ
description The development of pollinosis in children and adolescents is determined by the influence of genetic and environmental factors. The pathogenetic basis of pollinosis in children and adolescents is the differentiation of Th0 to Th2, activation of Th2cells and increasing of the production of IL-4, IL-5, IL-13, sIgE, activation of mast cells, basophils, eosinophils, with following development of IgE-mediated allergic reaction after exposure to pollen allergens and the manifestation of clinical symptoms of pollinosis (allergic rhinitis, allergic conjunctivitis, bronchial asthma). Children and adolescents with pollinosis often develop cross-allergic reactions to plant-based foods. Pathogenetic pharmacotherapy (antihistamines of the second generation, topical corticosteroids, antileukotrienes, decongestants) allows to achieve control over the symptoms of pollinosis. Subcutaneous and sublingual ASIT are high effective, they reduce the severity of symptoms of pollinosis, decrease the risk of developing bronchial asthma and severe clinical forms of pollinosis. The sublingual ASIT is more safe than subcutaneous ASIT.
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institution Kabale University
issn 2500-1175
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language Russian
publishDate 2023-03-01
publisher Association of Paediatric Allergists and Immunologists of Russia (APAIR)
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series Аллергология и Иммунология в Педиатрии
spelling doaj-art-a9bc415dd2164e28b15ca5b3e013835a2025-08-20T03:42:34ZrusAssociation of Paediatric Allergists and Immunologists of Russia (APAIR)Аллергология и Иммунология в Педиатрии2500-11752712-79582023-03-010361410.24411/2500-1175-2020-100079Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapyI. I. Balabolkin0National Medical Research Center for Children's HealthThe development of pollinosis in children and adolescents is determined by the influence of genetic and environmental factors. The pathogenetic basis of pollinosis in children and adolescents is the differentiation of Th0 to Th2, activation of Th2cells and increasing of the production of IL-4, IL-5, IL-13, sIgE, activation of mast cells, basophils, eosinophils, with following development of IgE-mediated allergic reaction after exposure to pollen allergens and the manifestation of clinical symptoms of pollinosis (allergic rhinitis, allergic conjunctivitis, bronchial asthma). Children and adolescents with pollinosis often develop cross-allergic reactions to plant-based foods. Pathogenetic pharmacotherapy (antihistamines of the second generation, topical corticosteroids, antileukotrienes, decongestants) allows to achieve control over the symptoms of pollinosis. Subcutaneous and sublingual ASIT are high effective, they reduce the severity of symptoms of pollinosis, decrease the risk of developing bronchial asthma and severe clinical forms of pollinosis. The sublingual ASIT is more safe than subcutaneous ASIT.https://adair.elpub.ru/jour/article/view/10pollinosisallergic rhinitisallergic conjunctivitisbronchial asthmath2il-4il-5il-13sigepathogenetic pharmacotherapyasit
spellingShingle I. I. Balabolkin
Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy
Аллергология и Иммунология в Педиатрии
pollinosis
allergic rhinitis
allergic conjunctivitis
bronchial asthma
th2
il-4
il-5
il-13
sige
pathogenetic pharmacotherapy
asit
title Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy
title_full Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy
title_fullStr Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy
title_full_unstemmed Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy
title_short Pollinosis in children and adolescents: modern aspects of pathogenesis and tendencies in therapy
title_sort pollinosis in children and adolescents modern aspects of pathogenesis and tendencies in therapy
topic pollinosis
allergic rhinitis
allergic conjunctivitis
bronchial asthma
th2
il-4
il-5
il-13
sige
pathogenetic pharmacotherapy
asit
url https://adair.elpub.ru/jour/article/view/10
work_keys_str_mv AT iibalabolkin pollinosisinchildrenandadolescentsmodernaspectsofpathogenesisandtendenciesintherapy