{"title":"[POST-TREATMENT SURVEY OF THE MAINTENANCE OF EFFECTS FOR CEDAR SUBLINGUAL IMMUNOTHERAPY].","authors":"Atsushi Yuta, Yukiko Ogawa, Hideaki Kozaki, Koji Matsumoto, Takeshi Shimizu, Mitsuhiro Okano","doi":"10.15036/arerugi.75.132","DOIUrl":"https://doi.org/10.15036/arerugi.75.132","url":null,"abstract":"<p><p>We studied post-treatment survey of the maintenance of effects for cedar sublingual immunotherapy (SLIT).</p><p><strong>Methods: </strong>Patients who started between 2018 and 2020 and had completed at least three seasons of SLIT with Cedarcure (post-SLIT patients) were surveyed by mail in 2025, regarding as 1) impressions compared to the time of SLIT completion, 2) the VAS (best 0-worst 100mm) of general symptoms in pollen season at 3 points (pre-SLIT, at the end of SLIT and in 2025), 3) medication score. Responses were received from 200 of 370 patients (age 15 [11-42] years, male 97).</p><p><strong>Results: </strong>The percentages of the maintenance of effects were 61%, 59%, 51% and 34% in order of 1- to 4-year follow-up, respectively (p<0.05 in 4-year vs 1- or 2-year, unadjusted and uncorrected). The VAS for all patients changed 90→10→20 in median at the three time points. On the 2025 VAS, the 4-year follow-up was significantly worse than the 1- and 2-year follow-ups, and the SLIT treated for 3 years was significantly worse than for 4 or 5 years (p<0.05). Compared with currently undergoing SLIT with the same treatment duration, the VAS of post-SLIT patients was significantly worsened in the group of 3 years of treatment, but not in the group of 4 or 5 years. The medication score was 0.3 in median, and there was no difference with currently SLIT patients.</p><p><strong>Conclusion: </strong>Although many patients progressed well, some cases worsened, and the four-year follow-up was significantly worse. A four-year or more treatment is recommended.</p>","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 2","pages":"132-141"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[EVALUATING CHALLENGES IN ALLERGY CARE: INSIGHTS FROM THE SAITAMA PREFECTURE TELEPHONE CONSULTATION PROGRAM FOR ALLERGIC DISEASES].","authors":"Takeshi Koga, Toshiko Itazawa, Kazuyuki Nakagome, Tomoyuki Soma, Koichiro Nakamura, Kenichi Tokuyama, Makoto Nagata","doi":"10.15036/arerugi.75.33","DOIUrl":"https://doi.org/10.15036/arerugi.75.33","url":null,"abstract":"<p><strong>Background: </strong>In Saitama Prefecture, a telephone consultation program for allergic diseases started in 2018 under the \"Allergic Disease Consultation Office\" initiative.</p><p><strong>Objective: </strong>This study aimed to analyze consultation content and identify the current status and challenges of allergy care in the prefecture.</p><p><strong>Methods: </strong>In total, 1016 consultation records from 2018 to 2025 were analyzed using a qualitative inductive approach. Trends over the fiscal years were examined using the Cochran-Armitage trend test.</p><p><strong>Results: </strong>The records were classified into five main categories. Food allergies were divided into 13 subcategories and 32 codes, while other allergic disease had 13 subcategories. \"Consultation on Medical Visits\" accounted for 237 cases (23.3%), covering specialized care, such as oral food challenge testing, adult food allergy management, systemic therapy for atopic dermatitis, and sublingual immunotherapy. Food allergy-related consultations comprised 668 cases (65.7%), and most were under \"Dietary and Nutritional Guidance\" (106 cases, 10.4%) and \"Management in Educational Settings\" (83 cases, 8.2%). A decrease in food allergy consultations among elementary school children was also noted (z=-2.77, p < 0.01).</p><p><strong>Conclusion: </strong>Telephone consultations effectively visualize community healthcare needs. Future challenges include improving adult allergy services, enhancing support in educational settings, and strengthening interprofessional collaboration.</p>","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 1","pages":"33-43"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[RECONSIDERATION OF EOSINOPHILIC GRANULOMATOSIS WITH POLYANGIITIS (EGPA)].","authors":"Norihiro Harada","doi":"10.15036/arerugi.75.1","DOIUrl":"https://doi.org/10.15036/arerugi.75.1","url":null,"abstract":"","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[PATHOPHYSIOLOGICAL AND CLINICAL SIGNIFICANCE OF IL-31 IN ALLERGIC DISEASES].","authors":"Saeko Nakajima","doi":"10.15036/arerugi.75.22","DOIUrl":"https://doi.org/10.15036/arerugi.75.22","url":null,"abstract":"","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 1","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[THE NEED FOR ALLERGISTS TO MOVE BEYOND AN \"ASTHMA-ONLY\" FOCUS: CHANGING DISEASE PATTERNS AND HOW TO RESPOND].","authors":"Yuma Fukutomi","doi":"10.15036/arerugi.75.29","DOIUrl":"https://doi.org/10.15036/arerugi.75.29","url":null,"abstract":"","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[ALLERGIC CONTACT DERMATITIS AND SYSTEMIC CONTACT DERMATITIS DUE TO METAL ALLERGENS].","authors":"Ken Washio","doi":"10.15036/arerugi.75.91","DOIUrl":"https://doi.org/10.15036/arerugi.75.91","url":null,"abstract":"","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 2","pages":"91-97"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[THE NEED FOR TRANSITIONAL CARE IN ALLERGIC DISEASES].","authors":"Yuzaburo Inoue","doi":"10.15036/arerugi.75.27","DOIUrl":"https://doi.org/10.15036/arerugi.75.27","url":null,"abstract":"","PeriodicalId":35521,"journal":{"name":"Japanese Journal of Allergology","volume":"75 1","pages":"27-28"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}