June 23, 2015

H1-antihistamines for primary mast cell activation syndromes (MCAS): a systematic review


  1. Ulugbek B. Nurmatov1,*
  2. Edmund Rhatigan2
  3. F. Estelle R. Simons3 and
  4. Aziz Sheikh1,4
  5. Allergy

Abstract
Background
Primary mast cell activation syndromes (MCAS) are a group of disorders presenting with symptoms of mast cell mediator release.
Objectives
To assess the effectiveness and safety of orally-administered H1-antihistamines in the treatment of primary MCAS compared with placebo and other pharmacologic treatments.

Risk of Obstructive Sleep Apnea in Adult Patients with Asthma: A Population-Based Cohort Study in Taiwan


  • Published: June 11, 2015 DOI: 10.1371/journal.pone.0128461


  • Abstract
    Background

    There are several publications reported that obstructive sleep apnea (OSA) was associated with asthma. However, large-scaled, population-based cohort study has been limited. We aimed to examine the risk of OSA among adult patients with asthma in an Asian population.

June 22, 2015

EAACI IG Biologicals task force paper on the use of biologic agents in allergic disorders


  1. O. Boyman1,*
  2. C. Kaegi1
  3. M. Akdis2,3
  4. S. Bavbek4
  5. A. Bossios5
  6. A. Chatzipetrou6,
  7. T. Eiwegger7
  8. D. Firinu8
  9. T. Harr9
  10. E. Knol10
  11. A. Matucci11
  12. O. Palomares12
  13. C. Schmidt-Weber13
  14. H.-U. Simon14
  15. U. C. Steiner15
  16. A. Vultaggio11
  17. C. A. Akdis2,3and
  18. F. Spertini12

Allergy Volume 70Issue 7pages 727–754, July 2015

Keywords:

  • allergic rhinitis;
  • asthma;
  • atopic dermatitis;
  • eosinophilic disorders;
  • food allergy;
  • hymenoptera allergy;
  • urticaria

Abstract

Biologic agents (also termed biologicals or biologics) are therapeutics that are synthesized by living organisms and directed against a specific determinant, for example, a cytokine or receptor. In inflammatory and autoimmune diseases, biologicals have revolutionized the treatment of several immune-mediated disorders.

Asthma phenotyping: a necessity for improved therapeutic precision and new targeted therapies


Journal of Internal Medicine

  1. Kian Fan Chung

Article first published online: 15 JUN 2015 DOI: 10.1111/joim.12382

Keywords:

  • asthma clusters;
  • asthma phenotyping;
  • asthma treatments;
  • eosinophils;
  • neutrophils;
  • T helper type 2 (Th2)

Abstract

Asthma is a common heterogeneous disease with a complex pathophysiology that carries a significant mortality rate and high morbidity. Current therapies based on inhaled corticosteroids and long-acting β-agonists remain effective in a large proportion of patients with asthma, but ~10% (considered to have ‘severe asthma’) do not respond to these treatments even at high doses or with the use of oral corticosteroids. Analytical clustering methods have revealed phenotypes that include dependence on high-dose corticosteroid treatment, severe airflow obstruction and recurrent exacerbations associated with an allergic background and late onset of disease.

June 19, 2015

The Allergies, Immunotherapy, and RhinoconjunctivitiS (AIRS) survey: provider practices and beliefs about allergen immunotherapy



  1. Bryan Leatherman MD1,*
  2. David P. Skoner MD2,3
  3. James A. Hadley MD, FACS4,
  4. Nicole Walstein PA-C5
  5. Michael S. Blaiss MD6
  6. Mark S. Dykewicz MD7
  7. Timothy Craig DO8
  8. Nancy Smith MS9 and
  9. Felicia Allen-Ramey PhD10
    1. International Forum of Allergy & Rhinology

      Volume 4Issue 10pages 779–788October 2014


Keywords:

  • physician's practice patterns;
  • allergens;
  • subcutaneous immunotherapy;
  • sublingual immunotherapy;
  • administration and dosage;
  • immunology

Background

The practices and beliefs of the provider specialties that treat allergic rhinoconjunctivitis (ARC) with allergen immunotherapy (AIT) may vary.

Methods

A telephone survey of 500 randomly selected health care practitioners in 7 specialties, conducted in 2012.

June 18, 2015

Maculopapular eruption and fever due to lamotrigine followed by subsiding flare-ups

Open Access

This article is part of the supplement: Abstracts from the EAACI Skin Allergy Meeting 2014

Poster presentation
Open AccessAnna Valerieva*Maria StaevskaVasil Dimitrov and Todor Popov

Introduction

Lamotrigine (LTG), an aromatic antiepileptic drug, is mainly used to manage epilepsy and bipolar / mood disorders. Skin rashes are the most common adverse reaction to this drug that typically develop in the first 8 weeks of treatment.

Case presentation

A 27-year-old Caucasian woman treated with LTG 25 mg PO for a depressive episode was hospitalized in our allergy clinic with highly pruritic maculopapular eruption (MPE), affecting her abdomen, chest, back and forearms, which had started 2 days earlier along with fever of 37.5ÂşC. A well-defined red dermographism and tenderness of the skin was observed.

Hypersensitivity to Tomato (Lycopersicon esculentum) in Peach-Allergic Patients: rPru p 3 and rPru p 1 Are Predictive of Symptom Severity


Mascheri A1, Farioli L2, Pravettoni V3, Piantanida M3, Stafylaraki C1, Scibilia J1, Mirone C1, Preziosi D1, Nichelatti M4, Pastorello EA5
1Allergology and Immunology Unit, Niguarda Ca’ Granda Hospital, Milan, Italy
2Department of Laboratory Medicine, Niguarda Ca’ Granda Hospital, Milan, Italy
3Clinical Allergy and Immunology Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
4Service of Biostatistics, Niguarda Ca’ Granda Hospital, Milan, Italy
5Allergology and Immunology Unit, Niguarda Ca’ Granda Hospital and Department of Clinical Sciences and Community Health “UniversitĂ  degli Studi di Milano”, Milan, Italy
 
 Abstract

Background: The role of allergens in the severity of tomato allergy symptoms has not yet been studied.

Objectives: To evaluate the relationship between severe allergic reactions to peach and tomato and between tomato allergy symptoms and the pattern of IgE positivity for rPru p 1, rPru p 3, rPru p 4, rBet v 1, rBet v 2, rBet v 4, rPhl p 1, and rPhl p 12 in order to identify the role of recombinant allergens in the severity of reactions to tomato.

June 17, 2015

Epidemiology of Anaphylaxis: Contributions From the Last 10 Years


Tejedor-Alonso MA1,2, Moro-Moro M1, MĂşgica-GarcĂ­a MV3
1Allergy Unit, Hospital Universitario FundaciĂłn AlcorcĂłn, AlcorcĂłn, Spain
2Medicine and Surgery Department, Universidad Rey Juan Carlos, AlcorcĂłn, Spain
3Allergy Service, Hospital Universitario de la Princesa, Madrid, Spain
J Investig Allergol Clin Immunol 2015; Vol. 25(3): 163-175
 
 Abstract

Knowledge of the epidemiology of anaphylaxis has improved during the last 10 years thanks to the increased number of publications with improved methodological robustness. Consequently, we better understand the distribution and frequency of anaphylaxis and the characteristics of fatal anaphylaxis.

Clarithromycin and dexamethasone show similar anti-inflammatory effects on distinct phenotypic chronic rhinosinusitis: an explant model study

Research article


Ming ZengZhi-Yong LiJin MaPing-Ping CaoHeng WangYong-Hua Cui and Zheng Liu*

Abstract
Background
Phenotype of chronic rhinosinusitis (CRS) may be an important determining factor of the efficacy of anti-inflammatory treatments. Although both glucocorticoids and macrolide antibiotics have been recommended for the treatment of CRS, whether they have different anti-inflammatory functions for distinct phenotypic CRS has not been completely understood. The aim of this study is to compare the anti-inflammatory effects of clarithromycin and dexamethasone on sinonasal mucosal explants from different phenotypic CRS ex vivo.

Allergy immunotherapy prescribing trends for grass pollen-induced allergic rhinitis in Germany: a retrospective cohort analysis

Research

Amanda L. McDonell1*Ulrich Wahn2Dirk Demuth1Catrina Richards1Charlie Hawes3Jakob Nørgaard Andreasen4and Felicia Allen-Ramey5

Abstract (provisional)
Background Allergy immunotherapy is an effective treatment for patients with allergic rhinitis whose symptoms are unresolved with pharmacotherapy. Allergy immunotherapy for grass pollen-induced allergic rhinitis is available in three modalities: subcutaneous immunotherapy and sublingual immunotherapy as a tablet or drop. This study aimed to understand trends in allergy immunotherapy prescribing and practice patterns for grass allergies in adult and paediatric patients in Germany.