Allergy, Immunotherapy, and Alternative Treatments for Dizziness

Otolaryngol Clin North Am. 2021 Oct;54(5):1057-1068. doi: 10.1016/j.otc.2021.05.020. Epub 2021 Jul 20.

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.

Keywords: Allergy; Autoimmune inner ear disease; Dizziness; Immunotherapy; Meniere disease.

Publication types

  • Review

MeSH terms

  • Dizziness / etiology
  • Dizziness / therapy
  • Food Hypersensitivity*
  • Humans
  • Immunologic Factors
  • Immunotherapy
  • Meniere Disease*

Substances

  • Immunologic Factors