Executive summary: Japanese guidelines for allergic rhinitis 2020

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  • Okano Mitsuhiro
    Department of Otorhinolaryngology, International University of Health and Welfare School of Medicine
  • Fujieda Shigeharu
    Division of Otorhinolaryngology Head and Neck Surgery, Department of Sensory and Locomotor Medicine, University of Fukui
  • Gotoh Minoru
    Department of Otorhinolaryngology, Nippon Medical School
  • Kurono Yuichi
    Department of Otolaryngology, Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences
  • Matsubara Atsushi
    Department of Otorhinolaryngology, Hirosaki University Graduate School of Medicine
  • Ohta Nobuo
    Department of Otorhinolaryngology, Tohoku Medical and Pharmaceutical University
  • Kamijo Atsushi
    Kamijo Allergy & ENT Clinic
  • Yamada Takechiyo
    Department of Otorhinolaryngology, Head and Neck Surgery, Akita University, Graduate School of Medicine
  • Nakamaru Yuji
    Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University
  • Asako Mikiya
    Department of Otolaryngology, Head and Neck Surgery, Kansai Medical University
  • Sakurai Daiju
    Department of Otorhinolaryngology, Head and Neck Surgery, Interdisciplinary Graduate School of Medicine, University of Yamanashi
  • Terada Tetsuya
    Department of Otorhinolaryngology–Head and Neck Surgery, Osaka Medical and Pharmaceutical University
  • Yonekura Shuji
    Department of Otolaryngology Head and Neck Surgery, Graduate School of Medicine, Chiba University
  • Sakashita Masafumi
    Division of Otorhinolaryngology Head and Neck Surgery, Department of Sensory and Locomotor Medicine, University of Fukui
  • Okubo Kimihiro
    Department of Otorhinolaryngology, Nippon Medical School

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<p>The Practical Guideline for the Management of Allergic Rhinitis, the fist guideline for allergic rhinitis in Japan, was prepared after a symposium held by the Japanese Society of Allergology in 1993. The current 9th edition was published in 2020 and is widely used today.</p><p>The most recent collection of evidence from the literature was supplemented to the revised guideline to incorporate evidence-based medicine. The revised guideline includes updated epidemiology of allergic rhinitis in Japan, a figure representing the mechanisms of allergic rhinitis in both the onset and sensitization phases with the introduction of regulatory T cells and type 2 innate lymphoid cells, practical assessment for diagnosis, new pharmacotherapy agents such as anti-IgE mAb and a new drug delivery system for antihistamines, sublingual immunotherapy for children, dual sublingual immunotherapy for house dust mites and Japanese cedar pollen extract, new classification for surgery for allergic rhinitis, and treatment and prescriptions for older adults. An evidence-based step-by-step strategy for treatment is also described.</p>

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