ORAL ALLERGY SYNDROME - THE EFFECT OF ASTEMIZOLE
ORAL ALLERGY SYNDROME - THE EFFECT OF ASTEMIZOLE
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DOI:
10.1111/j.1398-9995.1991.tb00631.x
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发表时间:
1991-11-01
期刊:
影响因子:
12.4
通讯作者:
WEEKE, B
中科院分区:
文献类型:
--
作者:
BINDSLEVJENSEN, C;VIBITS, A;WEEKE, B
The effect of treatment with astemizole (Hismanal(R)) on symptoms elicited by ingestion of hazelnuts in birch pollen-allergic patients (the oral allergy syndrome) was investigated, Thirty patients with a well-documented allergy to silver birch, experiencing symptoms when ingesting hazelnuts, were included in the study. All had a positive skin prick test (SPT) to birch, whereas 29 and 27, respectively, showed a positive RAST and basophil histamine release test (HR) to birch. In contrast, only 15 patients had a positive SPT to hazelnut, 13 had a positive RAST, whereas 24 had a positive HR. After two oral provocations with hazelnuts the patients were randomized to receive either 10 mg of astemizole or placebo daily for 2 weeks in a double blind protocol followed by two oral provocations. Treatment with astemizole significantly reduced the symptoms compared with placebo (P = 0.004); however, without completely abolishing the symptoms.