March 7, 2016

Helicobacter pylori in children with asthmatic conditions at school age, and their mothers


  1. W. J. den Hollander1,2,*
  2. A. M. M. Sonnenschein-van der Voort2,3,4
  3. I. L. Holster1
  4. J. C. de Jongste3
  5. V. W. Jaddoe2,5
  6. A. Hofman4
  7. G. I. Perez-Perez6
  8. H. A. Moll5
  9. M. J. Blaser6
  10. L. Duijts3,4,7 and
  11. E. J. Kuipers1,8
      1. Abstract
      Background
      Helicobacter pylori prevalence in Western countries has been declining simultaneously with increases in childhood asthma and allergic diseases; prior studies have linked these phenomena.

      Aims
      To examine the association between H. pylori colonisation in children and risk of asthma and related conditions at school age. We secondly examined additional effects of maternal H. pylori status by pairing with children's status.

Prevalence of Peanut, Tree Nut, Sesame, and Seafood Allergy in Mexican Adults



Martín Bedolla-Barajas, Allergy and Clinical Immunology Service, Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Jal., Mexico
Tonatiuh Ramses Bedolla-Pulido, Allergy and Clinical Immunology Service, Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Jal., Mexico
Nicole Macriz-Romero, Universidad Autónoma de Guadalajara, Zapopan, Jal., Mexico
Jaime Morales-Romero, Instituto de Salud Pública, Universidad Veracruzana, Xalapa, Ver., Mexico
Martín Robles-Figueroa, Internal Medicine Service, Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Jal., Mexico

Abstract:

Objective: To identify the prevalence of perceived and probable allergic reactions to peanuts, tree nuts, sesame seed, or seafood and its association with the personal history of allergic disease. Methods: A cross-sectional study was performed in four cities of the metropolitan area of Guadalajara, located in western Mexico. Through sampling by gender and age, 1,126 subjects were included. Using a structured questionnaire, we investigated: (i) history of atopic disease, (ii) perception of allergic reaction after food intake, and (iii) probable allergic reaction to peanuts, tree nuts, sesame, or seafood. Prevalence and 95% confidence intervals were calculated. A multivariate analysis of factors associated to perceived and probable allergic reactions to food was performed by logistic regression.

March 4, 2016

Efficacy of MP-AzeFlu in children with seasonal allergic rhinitis: Importance of paediatric symptom assessment

Pediatric Allergy and Immunology
Volume 27Issue 2pages 126–133March 2016



  • William Berger, 
  • Eli O. Meltzer, 
  • Niran Amar, 
  • Adam T. Fox, 
  • Jocelyne Just,
  • Antonella Muraro, 
  • Antonio Nieto, 
  • Erkka Valovirta, 
  • Magnus Wickman
  •  and
  • Jean Bousquet




  • Abstract
    Background
    This study aimed to assess the efficacy of MP-AzeFlu (a novel intranasal formulation of azelastine hydrochloride and fluticasone propionate in a single spray) in children with seasonal allergic rhinitis (SAR) and explore the importance of child symptom severity assessment in paediatric allergic rhinitis (AR) trials.

    March 1, 2016

    Helicobacter pylori infection is associated with a reduced risk of developing eosinophilic oesophagitis

    1. U. von Arnim1,*
    2. T. Wex1
    3. A. Link1
    4. M. Messerschmidt1
    5. M. Venerito1
    6. S. Miehlke2and
    7. P. Malfertheiner1
    DOI: 10.1111/apt.13560


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    Summary
    Background

    Eosinophilic oesophagitis (EoE) represents a chronic immune-antigen-mediated allergic disease of the oesophagus of still unknown aetiology. Environmental exposure has been postulated to play a pathogenetic role. Helicobacter pylori (H. pylori) infection has been inversely associated with allergic diseases including atopic dermatitis, asthma and allergic rhinitis and H. pylori may play a protective role in these conditions. Little is known about the relationship between EoE and H. pylori.

    Allergic Rhinitis and Chronic Daily Headaches: Is There a Link?

    Open Access
    Headache (R. B. Halker, Section Editor)
    • Anna Gryglas 
    Abstract
    Allergic rhinitis and migraine remain on the list of the most common diseases affecting adults. Migraines and headaches due to allergic rhinitis are easily confused because the symptoms of both conditions often overlap. Both may occur with sinus headache, nasal congestion, and lacrimation and may worsen with weather changes and exposure to allergens. No precise clinical definition exists for what constitutes a sinus headache, which has always been a diagnostic dilemma.

    Assessing Changes in Chronic Spontaneous/Idiopathic Urticaria: Comparisons of Patient-Reported Outcomes Using Latent Growth Modeling

    Original Research
    Open Access
  • Donald E. Stull 
  • Doreen McBride 
  • Katherine Houghton
  • Andrew Y. Finlay
  • Ari Gnanasakthy
  • ,Maria-Magdalena Balp
  • Abstract
    Introduction: Assessing the consequences of chronic spontaneous/idiopathic urticaria (CSU) requires the evaluation of health-related quality of life (HRQoL) associated with the severity of CSU signs and symptoms. It is important to understand how signs, symptoms, and HRQoL change over time in CSU. Evidence is lacking on how closely changes in signs and symptoms of CSU are related to changes in HRQoL.

    February 29, 2016

    Air pollution and chronic airway diseases: what should people know and do?

    Authors: Xu-Qin Jiang, Xiao-Dong Mei, Di Feng

    Abstract

    The health effects of air pollution remain a public health concern worldwide. Exposure to air pollution has many substantial adverse effects on human health. Globally, seven million deaths were attributable to the joint effects of household and ambient air pollution. Subjects with chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD) and asthma are especially vulnerable to the detrimental effects of air pollutants. Air pollution can induce the acute exacerbation of COPD and onset of asthma, increase the respiratory morbidity and mortality.

    Roflumilast combined with montelukast versus montelukast alone as add-on treatment in patients with moderate-to-severe asthma

    Background

    Roflumilast, a selective phosphodiesterase 4 inhibitor, has been shown to provide modest improvements in lung function in patients with mild-to-moderate asthma, but its efficacy in patients with moderate-to-severe asthma has not been assessed. We hypothesized that this drug might provide benefit if combined with montelukast, a leukotriene receptor antagonist, in patients whose symptoms are uncontrolled by inhaled corticosteroids and long-acting β-agonists.

    Management and Prevention of Anaphylaxis

    Abstract

    Anaphylaxis prevalence has increased within the last few years. This may be due to a marked increase in allergic sensitization to foods especially in the pediatric population, as well as to an increase in outdoor recreational habits and the availability of new biologic medications.  Furthermore, guidelines for the diagnosis of anaphylaxis have been published, thus facilitating the recognition of this disorder.

    February 26, 2016

    The Treatment of Allergic Respiratory Disease During Pregnancy

    Namazy JA1, Schatz M2
    1Scripps Clinic, San Diego, California, USA
    2Department of Allergy, Kaiser Permanente Medical Center, San Diego, California, USA
     
     Abstract

    Pregnancy may be complicated by new-onset or preexisting asthma and allergic rhinitis. This article reviews the recognition and management of asthma and allergic rhinitis during pregnancy, paying close attention to the general principles of allergy and use of asthma medication during pregnancy. Both allergic rhinitis and asthma can adversely affect both maternal quality of life and, in the case of maternal asthma, perinatal outcomes. Optimal management is thus important for both mother and baby. This article reviews the safety of asthma and allergy medications commonly used during pregnancy.

    Key words: Pregnancy. Asthma. Treatment. Inhaled corticosteroids. Bronchodilators. ß-agonists. Leukotriene modifiers. Oral corticosteroids.
     
      
     

    Vaccination in patients with primary immune deficiency, secondary immune deficiency and autoimmunity with immune regulatory abnormalities



    Review
    Martha M Eibl*,1 & Hermann M Wolf1
    *Author for correspondence: 

    Vaccination has been an important healthcare measure in preventing infectious diseases. The response to vaccination is reduced in immunocompromised patients, primary immune deficiency (PID) and secondary immune deficiency (SID), but vaccination studies still demonstrated a protective effect resulting in reducing complications, hospitalization, treatment costs and even mortality.