February 13, 2016

Effects of a dietary intervention with conjugated linoleic acid on immunological and metabolic parameters in children and adolescents with allergic asthma – a placebo-controlled pilot trial

  • Anke Jaudszus
  • Jochen G. Mainz
  • Sylvia Pittag
  • Sabine Dornaus
  • Christian Dopfer
  • Alexander Roth and 
  • Gerhard Jahreis
Lipids in Health and Disease201615:21
Abstract
Background
Circumstantial evidence suggests that conjugated linoleic acid (CLA) beneficially modulates immune function in allergic subjects. C9,t11-CLA, naturally occurring in ruminant fats, is suggested to be the effective isomer. In contrast, for thet10,c12-CLA isomer, which is naturally found only in traces but usually constitutes a relevant part in commercial CLA mixtures, adverse effects have been reported.

Progress in the impact of polluted meteorological conditions on the incidence of asthma


  • Authors: Wen Wang

    Abstract

    It has been revealed by many studies that air pollution is one of the important inducements of asthma exacerbations. In addition, meteorological conditions such as high atmospheric pressure, low temperature, low humidity and large diurnal amplitude can directly induce asthma.

    February 6, 2016

    Otitis Media with Effusion Executive Summary (Update)


    Clinical Practice Guideline

    Otitis Media with Effusion Executive Summary (Update)

     Authors

    Abstract

    The American Academy of Otolaryngology—Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology—Head and Neck Surgery featuring the updated “Clinical Practice Guideline: Otitis Media with Effusion.” To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements.

    February 5, 2016

    Vibratory Urticaria Associated with a Missense Variant in ADGRE2

    ORIGINAL ARTICLE
    BRIEF REPORT
    Steven E. Boyden, Ph.D., Avanti Desai, M.S., Glenn Cruse, Ph.D., Michael L. Young, M.S.P.H., Hyejeong C. Bolan, M.S.N., Linda M. Scott, M.S.N., A. Robin Eisch, R.N., R. Daniel Long, B.S., B.A., Chyi-Chia R. Lee, M.D., Ph.D., Colleen L. Satorius, B.S., Andrew J. Pakstis, Ph.D., Ana Olivera, Ph.D., James C. Mullikin, Ph.D., Eliane Chouery, Ph.D., André Mégarbané, M.D., Ph.D., Myrna Medlej-Hashim, Ph.D., Kenneth K. Kidd, Ph.D., Daniel L. Kastner, M.D., Ph.D., Dean D. Metcalfe, M.D., and Hirsh D. Komarow, M.D.
    February 3, 2016DOI: 10.1056/NEJMoa1500611
    Abstract
    Article
    References

    Patients with autosomal dominant vibratory urticaria have localized hives and systemic manifestations in response to dermal vibration, with coincident degranulation of mast cells and increased histamine levels in serum. We identified a previously unknown missense substitution in ADGRE2 (also known as EMR2), which was predicted to result in the replacement of cysteine with tyrosine at amino acid position 492 (p.C492Y), as the only nonsynonymous variant cosegregating with vibratory urticaria in two large kindreds. The ADGRE2 receptor undergoes autocatalytic cleavage, producing an extracellular subunit that noncovalently binds a transmembrane subunit. We showed that the variant probably destabilizes an autoinhibitory subunit interaction, sensitizing mast cells to IgE-independent vibration-induced degranulation. (Funded by the National Institutes of Health.)

    MEDIA IN THIS ARTICLE

    FIGURE 1Inheritance and Clinical Features of Vibratory Urticaria.
    FIGURE 2Vibration-Induced, ADGRE2-Enhanced Degranulation of Mast Cells from Patients.

    February 4, 2016

    Papain Induced Occupational Asthma with Kiwi and Fig Allergy


    Nannan Jiang, Jia Yin and Liping Wen

    Abstract
    Papain is a proteolytic enzyme which is widely used in food industry, pharmaceuticals, and cosmetics. Occupational and non-occupational papain allergies have previously been documented; however, there are limited publications about papain allergy with its relative fruit allergy. Here, we present a case of occupational, IgE-mediated papain allergy with kiwi fruit and fig fruit allergy.

    February 1, 2016

    One-year survey of paediatric anaphylaxis in an allergy department

    Volume 47 n. 6/2015  November 2015

    Â. Gaspar, N. Santos, S. Piedade, C. Santa-Marta, G. Pires, G. Sampaio, C. Arêde, L.M. Borrego, M. Morais-Almeida


    Aim. To determine the frequency of anaphylaxis in an allergy outpatient department, allowing
    a better understanding regarding aetiology, clinical manifestations and management, in children and adolescents. Methods. From among 3646 patients up to 18 years old observed during one-year period, we included those with history of anaphylaxis reported by allergists.

    January 29, 2016

    Antibiotic-induced immediate type hypersensitivity is a risk factor for positive allergy skin tests for neuromuscular blocking agents

    Abstract
    Background
    Skin tests for neuromuscular blocking agents (NMBAs) are not currently recommended for the general population undergoing general anaesthesia. In a previous study we have reported a high incidence of positive allergy tests for NMBAs in patients with a positive history of non-anaesthetic drug allergy, a larger prospective study being needed to confirm those preliminary results. The objective of this study was to compare the skin tests results for patients with a positive history of antibiotic-induced immediate type hypersensitivity reactions to those of controls without drug allergies.

    Drugs as important factors causing allergies

    Logo of pdiaLink to Publisher's site
    Postepy Dermatol Alergol. 2015 Oct; 32(5): 388–392.
    Published online 2015 Oct 29. doi:  10.5114/pdia.2014.44021
    PMCID: PMC4692812
    Abstract
    Medications can cause many adverse reactions, both non-immunologic and immunologic ones. Allergies can take many forms, allergic reactions include all types of reactions according to Gell and Coombs. Typically, allergic reactions to drugs are manifested by skin lesions such as maculopapular rash or urticaria and life-threatening systemic reactions such as anaphylaxis.

    January 28, 2016

    Circulating Dendritic Cells, Farm Exposure and Asthma at Early Age

    Scandinavian Journal of Immunology
    1. H. Kääriö1,*
    2. J. K. Nieminen2
    3. A. M. Karvonen3
    4. K. Huttunen1
    5. P. C. Schröder4,
    6. O. Vaarala5
    7. E. von Mutius4
    8. P.I. Pfefferle6,
    9. B. Schaub4
    10. J. Pekkanen3,7
    11. M.-R. Hirvonen1,3 and
    12. M. Roponen1

        1. Abstract
          Farm environment has been shown to protect from childhood asthma. Underlying immunological mechanisms are not clear yet, including the role of dendritic cells (DCs). The aim was to explore whether asthma and farm exposures are associated with the proportions and functional properties of DCs from 4.5-year-old children in a subgroup of the Finnish PASTURE birth cohort study.

    January 26, 2016

    Parent-determined oral montelukast therapy for preschool wheeze with stratification for arachidonate 5-lipoxygenase (ALOX5) promoter genotype: a multicentre, randomised, placebo-controlled trial


    , and .
    Southampton (UK): NIHR Journals Library.
      Headline
    The study found no clear benefit of intermittent montelukast in young children with wheeze. Further research is need to determine if a variant allele of ALOX5 identifies individuals who are more responsive to montelukast.
    Abstract
    Background:
    The clinical effectiveness of intermittent montelukast for wheeze in young children is unclear. Previous work has been equivocal. Variation in copy numbers of the specificity protein 1-binding motif in the arachidonate 5-lipoxygenase (ALOX5) gene promoter

    Different co-sensitizations could determine different risk assessment in peach allergy? Evaluation of an anaphylactic biomarker in Pru p 3 positive patients

    • Carina Gabriela Uasuf
    • Danilo Villalta
    • Maria Elisabetta Conte
    • Caterina Di Sano
    • Maria Barrale
    • Vincenzo Cantisano
    • Elisabetta Pace,
    • Mark Gjomarkaj
    • Sebastiano Gangemi
  • and 
  • Ignazio Brusca
  • Abstract
    Background
    In Italy, the nsLTP (Pru p 3) has been identified as the most frequent cause of food allergy and anaphylaxis. In order to estimate the risk assessment in peach allergy, we investigated the presence of correlations between the levels of sIgE to Pru p 3 with the severity of the clinical symptoms in two Pru p 3 positive populations from two different areas of Italy.

    January 25, 2016

    The Hidden Culprit: A Case of Repeated Anaphylaxis to Cremophor

    Allergy Asthma Immunol Res. 2016 Mar;8(2):174-177. English.
    http://dx.doi.org/10.4168/aair.2016.8.2.174
    Young Nam Kim, Jun Young Kim, Ji Won Kim, Jin Hae Kim, Hye In Kim, Sehyo Yune, Dong-Chull Choi andByung-Jae Lee
    Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

    Abstract

    Drug-induced anaphylaxis is a big pitfall in patients receiving antineoplastic chemotherapy. We report a case of lung cancer patient who experienced two near-fatal anaphylactic reactions that resulted from paclitaxel and multivitamin, seperately.

    Review: Immunology of sinusitis, trauma, asthma, and sepsis

    Allergy immunotherapy: the future of allergy treatment

      Open Access

    Highlights

    Allergy is increasing in prevalence and pharmacotherapy alone cannot control the disease.
    Allergy immunotherapy induces immunological tolerance and changes the course of disease.
    Allergy immunotherapy has long term effect extending beyond termination of treatment.
    Allergy immunotherapy prevents asthma in children with rhino-conjunctivitis.
    Allergy immunotherapy improves quality-of-life in patients suffering from allergy.