小児科における鼻アレルギー診療の実態調査

抄録

To survey current status of pediatric allergic rhinitis in Japan,106 pediatricians who were interested in allergology were reguested to reply to mailed questionaire from April to July,1993.
More than 80% of the pediatricians reported that the incidence of the patients with the chief complaint of allergic rhinitis was less than 10%, and most other patients were complicated with bronchial asthma. In children pollinosis was not so frequent, less then 20% in infants and toddlers and 20-60% in school children. Diagnosis of allergic rhinitis was usually established by clinical history and symptoms, and allergologic examinations such as the numbers of eosinophil in peripheral blood or nasal smear, serum IgE levels, skin tests, IgE-RAST and provocation test were not commonily but occasionally carried out particularly by the practitioners.
Topical or systemic use of so-called anti-allergic drugs, such as cromolyn, for allergic rhinitis was very popular in Japan and no reported physicians neglected them. Topical use of cortiocosteroid hormones was also occasionally used in childhood patients, but most pediatricians avoided systemical administration in allergic rhinitis. Immunotherapy was not the popular choice for allergic rhinitis in children, and more then 80% of the pediatrician reported that only less than 5% of their patients were being treated by immunotherapy.