대한천식알레르기학회 알레르기 면역요법 진료지침

• Published in: Allergy asthma & respiratory disease Vol. 12; no. 3; pp. 102 - 124
• Main Authors: 이화영, 강성윤, 김경훈, 김주희, 류광희, 민진영, 박경희, 박소영, 성명순, 이영수, 양은애, 지혜미, 하은교, 신유섭, 이상민, 정은희, 최선희, 고영일, 김선태, 남동호, 박중원, 심정연, 안영민, 한두희, 한만용, 이용원, 최정희, 대한천식알레르기학회 면역요법/알레르겐연구팀, Hwa Young Lee, Sung-Yoon Kang, Kyunghoon Kim, Ju Hee Kim, Gwanghui Ryu, Jin-Young Min, Kyung Hee Park, So-Young Park, Myongsoon Sung, Youngsoo Lee, Eun-Ae Yang, Hye Mi Jee, Eun Kyo Ha, Yoo Seob Shin, Sang Min Lee, Eun Hee Chung, Sun Hee Choi, Young-Il Koh, Seon Tae Kim, Dong-Ho Nahm, Jung Won Park, Jung Yeon Shim, Young Min An, Doo Hee Han, Man Yong Han, Yong Won Lee, Jeong-Hee Choi, Korean Academy of Asthma Allergy and Clinical Immunology (KAAACI) Allergen Immunotherapy and Allergen Working Group
• Format: Journal Article
• Language: Korean
• Published: 대한 소아알레르기 호흡기학회 30.07.2024
• Subjects: 소아과학; Allergens; Guideline; Immunotherapy
• ISSN: 2288-0402; 2288-0410
• DOI: 10.4168/aard.2024.12.3.102

Allergen immunotherapy (AIT) is a causative treatment of allergic diseases in which allergen extracts are regularly administered in a gradually escalated doses, leading to immune tolerance and consequent alleviation of allergic diseases. The need for uniform practice guidelines in AIT is continuously growing as the number of potential candidates for AIT increases and new therapeutic approaches are tried. This updated version of the Korean Academy of Asthma Allergy and Clinical Immunology recommendations for AIT, published in 2010, proposes an expert opinion by specialists in allergy, pediatrics, and otorhinolaryngology. This guideline deals with the basic knowledge of AIT, including mechanisms, clinical efficacy, allergen standardization, important allergens in Korea, and special consideration in pediatrics. The article also covers the methodological aspects of AIT, including patient selection, allergen selection, schedule and doses, follow-up care, efficacy measurements, and management of adverse reactions. Although this guideline suggests the optimal dosing schedule, an individualized approach and modifications are recommended considering the situation for each patient and clinic.