title: Efficacy and safety of rush immunotherapy with alum-precipitated allergens in canine atopic dermatitis.
abstract: OBJECTIVE
  Canine atopic dermatitis is a very common disease in small animal practice. Its only specific treatment is allergen immunotherapy. In rush-immunotherapy (RIT) increasing doses of allergen extract are injected subcutaneously in short intervals. Maintenance doses are achieved within one day compared to weeks or months with conventional immunotherapy. The aim of this study was to evaluate the safety and efficacy of RIT with alum-precipitated allergens.
  
  
  METHODS
  A series of 20 dogs with atopic dermatitis underwent RIT with alum-precipitated allergens. Pruritus and medications at the start of the immunotherapy and 12 months afterwards were compared and adverse effects were recorded.
  
  
  RESULTS
  Significant improvement in pruritus (p = 0.0001) and medication scores (p = 0.0004) was noted after approximately 12 months of treatment. The observed clinical response was good to excellent in 70% of the dogs, consistent with other published reports. One dog vomited once during the induction day, with no other clinical problems and completion of the normal protocol. The other 19 dogs showed no adverse effects at all during or after RIT.
  
  
  CONCLUSIONS
  RIT with alum-precipitated allergens seems to be a safe and efficacious method to treat dogs with atopic dermatitis.
authors.affiliation: Stefan Hobi, Medizinische Kleintierklinik, Ludwig-Maximilians-Universität, Veterinärstraße 13, 80539 München, Germany, Email: s.hobi@medizinische-kleintierklinik.de.
authors.forename: S
authors.initials: S
authors.lastname: Hobi
authors.forename: R S
authors.initials: RS
authors.lastname: Mueller
mesh_terms: D000485:Allergens / Q000627:therapeutic use*; D000534:Alum Compounds / Q000627:therapeutic use*; D000818:Animals; D003876:Dermatitis, Atopic / Q000276:immunology / Q000628:therapy / Q000662:veterinary*; D004283:Dog Diseases / Q000276:immunology / Q000628:therapy*; D004285:Dogs; D005260:Female; D007167:Immunotherapy / Q000009:adverse effects / Q000379:methods / Q000662:veterinary*; D008297:Male; D012189:Retrospective Studies
chemical_list: D000485:Allergens; D000534:Alum Compounds; C041524:aluminum sulfate
keywords: Dog; allergy; desensitization; treatment