Will allergy shots for environmental allergies be recommended as part of treatment of eosinophilic disorders?
Immunotherapy (IT), is helpful in treating allergic rhinitis and asthma. For eosinophilic disorders we need to look at the specific disorder for each patient and assess individually. Some cases of EE, for example, are allergic in nature and some are not; those patients that test positive to allergens via SPT, RAST or patch testing may improve their general wellness by participating in IT. The treatment may not help those with eosinophilic gastroenteritis, and each case should be reviewed individually. There are some disorders that might get worse with IT, such as allergic bronchopulmonary aspergillosis (ABPA), but in general, if someone has allergies, immunotherapy may help. Immunotherapy for eosinophilic disorders has not been proven, but might help the ones that have an allergic component. EGE, if not allergic, may not improve with IT, but I would not expect it to get worse.
