Evidence map›Paper›PMID 42326971›Full record

ArticleJournal of asthma and allergy2026

Comorbidity of Allergic Asthma and Rhinitis and High Allergen-Specific IgE are Risk Factors for Systemic Reactions to House Dust Mite Immunotherapy in Children.

Qin Wang, Xiaoyan Dong, Siyu Zhu, Lang Yuan, Haojie Wang, Ran Zhao, Na Dong

Abstract read
In one paragraph

Article in Journal of asthma and allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Qin WangDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.ORCID 0009-0006-4770-5149
Xiaoyan DongDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Siyu ZhuDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Lang YuanDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Haojie WangDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Ran ZhaoDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Na DongDepartment of Respiratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To observe the adverse reactions during standardized dust mite allergen subcutaneous immunotherapy (SCIT) in children with allergic asthma (AA) and/or allergic rhinitis (AR), and to analyze the clinical characteristics and potential risk factors. Methods: This single-center retrospective cohort study included 250 children with allergic diseases who received house dust mite (HDM) SCIT treatment at our hospital from July 2022 to July 2025. The participants were divided into a systemic reactions (SRs) group and a non-SRs group. Differences in baseline clinical data and laboratory indicators between the two groups were compared, and independent risk factors for SRs were analyzed using the generalized estimating equation (GEE) method. Results: Among 250 children (9,244 injections), 114 (45.6%) experienced SRs, with an incidence of 3.47% per injection. SRs were predominantly characterized by immediate, mild grade I reactions, with only 2 cases of grade III reactions and no fatal or serious adverse events. The incidence of SRs during the maintenance period was higher than during the up-dosing period. Univariate analysis showed that the occurrence of SRs was associated with age 5-9 years, AR combined with AA, elevated total immunoglobulin E (IgE), and high Dermatophagoides pteronyssinus (Der.p) specific IgE (sIgE) levels (P < 0.05). Multivariate GEE analysis showed that AR+AA comorbidity (compared to AA alone, odds ratio [OR] = 2.219, 95% confidence interval [CI]: 1.061-4.638, Conclusion: HDM SCIT in children demonstrates a favorable safety profile, with SRs being predominantly mild and dose-dependent. The presence of AR+AA comorbidity (compared to AA alone) and a baseline Der.p.sIgE ≥ 17.5 IU/mL are key predictors of SR risk. These findings support pre-treatment risk stratification and suggest that children with these risk factors may benefit from a more individualized and monitored SCIT protocol to enhance safety.

Indexed as

adverse reactionsallergic asthmaallergic rhinitishouse dust mitepediatricssubcutaneous immunotherapy

Identifiers

PMID42326971
PMCPMC13282978

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.