Dust mite allergy
| Dust mite allergy | |
|---|---|
| Other names | House dust allergy |
| Specialty | Allergist, immunologist |
| Symptoms | Symptoms |
| Complications | Bronchial asthma, allergic asthma, allergic rhinitis |
| Usual onset | Early childhood |
| Causes | Mite droppings |
| Prevention | Avoid dust mites or cutting down mite numbers |
| Treatment | Allergen immunotherapy |
| Medication | Allergy shots (SCIT), HDM-SLIT tablet (SLIT) |
Dust mite allergy, also known as house dust allergy, is a sensitization and allergic reaction to the droppings of house dust mites. The allergy is common[1][2] and can trigger allergic reactions such as asthma, eczema or itching. The mite's gut contains potent digestive enzymes (notably peptidase 1) that persist in their feces and are major inducers of allergic reactions such as wheezing. The mite's exoskeleton can also contribute to allergic reactions. Unlike scabies mites or skin follicle mites, house dust mites do not burrow under the skin and are not parasitic.[3]
The symptoms can be avoided or alleviated by a number of measures. In general, cutting down mite numbers may reduce these reactions while others say efforts to remove these mites from the environment have not been found to be effective.[4] Immunotherapy may be useful in those affected.[4] Subcutaneous injections have better evidence than under the tongue dosing.[5] Topical steroids as nasal spray or inhalation may be used.[6]
Severe dust mite infestation in the home has been linked to atopic dermatitis, and epidermal barrier damage has been documented.[7]
- ^ Alderman L (2011-03-04). "Who Should Worry About Dust Mites (and Who Shouldn't)". The New York Times. ISSN 0362-4331. Archived from the original on 19 February 2012.
- ^ "Dust Mite Allergy" (PDF). NHS. Archived from the original (PDF) on 2020-04-26. Retrieved 2020-07-23.
- ^ Ogg B. "Managing House Dust Mites" (PDF). Extension, Institute of Agriculture and Natural Resources, University of Nebraska–Lincoln. Archived from the original (PDF) on 14 November 2022. Retrieved 24 January 2019.
- ^ a b Cite error: The named reference
Bia2014was invoked but never defined (see the help page). - ^ Eifan AO, Calderon MA, Durham SR (November 2013). "Allergen immunotherapy for house dust mite: clinical efficacy and immunological mechanisms in allergic rhinitis and asthma". Expert Opinion on Biological Therapy. 13 (11): 1543–1556. doi:10.1517/14712598.2013.844226. PMID 24099116.
- ^ Carrard A, Pichler C (April 2012). "[House dust mite allergy]". Therapeutische Umschau. Revue Therapeutique. 69 (4): 249–252. doi:10.1024/0040-5930/a000281. PMID 22477664.
- ^ Cork MJ, Robinson DA, Vasilopoulos Y, Ferguson A, Moustafa M, MacGowan A, et al. (July 2006). "New perspectives on epidermal barrier dysfunction in atopic dermatitis: gene-environment interactions". The Journal of Allergy and Clinical Immunology. 118 (1): 3–21, quiz 22–3. doi:10.1016/j.jaci.2006.04.042. PMID 16815133.