Great-grandma was probably on the right track when she said, "A little dirt
won't hurt you. It builds immunity." In fact, some evidence suggests that
our "hygienic" environment may be increasing our vulnerabilities to some ma
ladies, especially allergic disorders. Although the principles of immunothe
rapy have been known for nearly a century guidelines for its use are still
evolving. In this article, Dr Portnoy discusses the role of immunotherapy i
n patients with symptoms triggered by airborne allergens.