Q. My daughter loves horseback riding, but has developed an allergy to horses, which ranges from congestion and eye symptoms to even sometimes hives on her hands if she touches a horse. Is there any therapy that would help?
Dr. Bassett: The conundrum is to have your daughter enjoy her pastime of riding and still be safe, and symptom-free. There is no panacea here, though pre-medication may help allergic eye, nasal and skin symptoms.
Getting a proper assessment from an allergist is important since horse dander can be a major allergy trigger, and OTC and prescription allergy treatments are not always successful in reducing or preventing allergy and/or asthma episodes. For some people, strict avoidance of horses may be necessary.
In a U.K. study, about 1 to 2 percent of children were estimated to be sensitive to horse allergen. The most prominent symptoms included watery, red and itchy eyes as well as nasal symptoms and asthma.
Hives and more generalized reactions, including anaphylaxis, were also reported.
The management of horse allergy is based on the following: Avoidance measures, pre-treatment with appropriate allergy and asthma medicines and lastly, allergy immunotherapy for a more permanent treatment.
Dr. Clifford Bassett, an allergist and asthma specialist, is the Medical Director of Allergy & Asthma Care of New York (www.allergyreliefnyc.com; Twitter @allergyreliefny). He is also on the faculty of NYU School of Medicine and Weill Cornell Medical College in New York City.