Allergy, Immunotherapy, and Alternative Treatments for Dizziness.

M Jennifer Derebery, Laura Christopher

Journal: Otolaryngologic clinics of North America 2021;54(5):1057-1068

PMID: 34294437

Full Text on Elsevier Science View on PubMed

Abstract

Allergic reactions may result in central symptoms of dizziness, including nonspecific chronic imbalance, Meniere's disease, and autoimmune inner ear disease. Excepting first-generation antihistamines, and short-term use of steroids, most pharmacotherapies used to treat allergic rhinitis have limited benefit in treating allergically induced or related dizziness. Allergy immunotherapy and/or an elimination diet for diagnosed food allergies have been found to be effective treatments. Individuals diagnosed with autoimmune inner ear disease remain challenging to treat and may require high-dose, long-term steroid treatment, biologics, or immunomodulators for symptom control.

Address: House Ear Clinic and Institute, 2100 West Third Street, Los Angeles, CA 90057, USA. Electronic address: [email protected].; Jackson Ear Clinic, 290 East Layfair Drive, Flowood, MS 39232, USA.

DOI: 10.1016/j.otc.2021.05.020

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MeSH Terms: Dizziness, Food Hypersensitivity, Humans, Immunologic Factors, Immunotherapy, Meniere Disease