Japanese guidelines for allergic rhinitis 2020

Kimihiro Okubo; Yuichi Kurono; Keiichi Ichimura; Tadao Enomoto; Yoshitaka Okamoto; Hideyuki Kawauchi; Harumi Suzaki; Shigeharu Fujieda; Keisuke Masuyama; Japanese Society of Allergology

doi:10.1016/j.alit.2020.04.001

Japanese guidelines for allergic rhinitis 2020

Allergol Int. 2020 Jul;69(3):331-345. doi: 10.1016/j.alit.2020.04.001. Epub 2020 May 27.

Authors

Kimihiro Okubo¹, Yuichi Kurono², Keiichi Ichimura³, Tadao Enomoto⁴, Yoshitaka Okamoto⁵, Hideyuki Kawauchi⁶, Harumi Suzaki⁷, Shigeharu Fujieda⁸, Keisuke Masuyama⁹; Japanese Society of Allergology

Affiliations

¹ Department of Otorhinolaryngology, Nippon Medical School, Tokyo, Japan. Electronic address: ent-kimi@nms.ac.jp.
² Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
³ Jichi Medical University, Tochigi, Japan.
⁴ Tottori University Faculty of Medicine, Tottori, Japan.
⁵ Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
⁶ Department of Otorhinolaryngology, Shimane University Faculty of Medicine, Shimane, Japan.
⁷ Nasal and Paranasal Sinus Disease and Allergy Institute, Tokyo General Hospital, Tokyo, Japan.
⁸ Division of Otorhinolaryngology, Head & Neck Surgery, Department of Sensory and Locomotor Medicine, Faculty of Medical Science, University of Fukui, Fukui, Japan.
⁹ Department of Otorhinolaryngology, Suwa Central Hospital, Nagano, Japan.

PMID: 32473790
DOI: 10.1016/j.alit.2020.04.001

Abstract

Like asthma and atopic dermatitis, allergic rhinitis is an allergic disease, but of the three, it is the only type I allergic disease. Allergic rhinitis includes pollinosis, which is intractable and reduces quality of life (QOL) when it becomes severe. A guideline is needed to understand allergic rhinitis and to use this knowledge to develop a treatment plan. In Japan, the first guideline was prepared after a symposium held by the Japanese Society of Allergology in 1993. The current 8th edition was published in 2016, and is widely used today. To incorporate evidence based medicine (EBM) introduced from abroad, the most recent collection of evidence/literature was supplemented to the Practical Guideline for the Management of Allergic Rhinitis in Japan 2016. The revised guideline includes assessment of diagnosis/treatment and prescriptions for children and pregnant women, for broad clinical applications. An evidence-based step-by-step strategy for treatment is also described. In addition, the QOL concept and cost benefit analyses are also addressed. Along with Allergic Rhinitis and its Impact of Asthma (ARIA), this guideline is widely used for various clinical purposes, such as measures for patients with sinusitis, childhood allergic rhinitis, oral allergy syndrome, and anaphylaxis and for pregnant women. A Q&A section regarding allergic rhinitis in Japan was added to the end of this guideline.

Keywords: Allergen immunotherapy; Mechanism; Pharmacotherapy; Pollinosis; Surgery.

Publication types

Practice Guideline
Review

MeSH terms

Disease Management
Disease Susceptibility
Humans
Japan
Rhinitis, Allergic / diagnosis*
Rhinitis, Allergic / etiology
Rhinitis, Allergic / therapy*