Management of the Patient with Pollen Allergy
It is the purpose of this discussion to present briefly the principles of management of the patient with pollen hay fever and asthma. Although pollen allergy may be manifested as a seasonal dermatitis or eczema, the majority of patients exhibit typical ocular and respiratory symptoms of hay fever or asthma or a combination of the two. Our presentation is limited to subjects with hay fever and asthma.
The problem of control of pollen allergy interests not only the allergist but many others engaged in the field of therapeutic medicine. It is at this time of year that patients with pollen allergy begin to contemplate the management of their problems. Fortunately, a small percentage of sufferers have been under the care of physicians and have received the perennial method of pollen hyposensitization which assures them some degree of relief from their symptoms in the future; however, the majority of patients are not under care and many will present themselves to the physician in the next few weeks or months.
It is estimated that between three and four million subjects in this country suffer with hay fever or asthma. Balyeat1 states that approximately two per cent of the population suffer with this particular condition. Piness and Miller2, after a survey of 4000 subjects in two communities on the West Coast, found that 4.4 per cent of the first group and 3.0 per cent of the second were hay fever victims. A similar survey in New York and vicinity was carried out by. . .